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Inborn errors of metabolism are often rare and highly heterogeneous multisystem diseases with non\u2010neurological and neurological manifestations, commonly with onset during childhood. Movement disorders are among the most common neurological problems in inborn errors of metabolism, but, in many cases, remain poorly defined. Although movement disorders are usually not the only and often not the presenting symptom, their recognition can facilitate a diagnosis. Movement disorders contribute substantially to the morbidity in inborn errors of metabolism and can have a significant impact on quality of life. Common metabolic movement disorders include the monoamine neurotransmitter disorders, disorders of amino and organic acid metabolism, metal storage disorders, lysosomal storage disorders, congenital disorders of autophagy, disorders of creatine metabolism, vitamin\u2010responsive disorders, and disorders of energy metabolism. Importantly, disease\u2010modifying therapies exist for a number of inborn errors of metabolism, and early recognition and treatment can prevent irreversible CNS damage and reduce morbidity and mortality. A phenomenology\u2010based approach, based on the predominant movement disorder, can facilitate a differential diagnosis and can guide biochemical, molecular, and imaging testing. The complexity of metabolic movement disorders demands an interdisciplinary approach and close collaboration of pediatric neurologists, neurologists, geneticists, and experts in metabolism. In this review, we develop a general framework for a phenomenology\u2010based approach to movement disorders in inborn errors of metabolism and discuss an approach to identifying the \u201ctop ten\u201d of treatable inborn errors of metabolism that present with movement disorders\u2014diagnoses that should never be missed. \u00a9 2018 International Parkinson and Movement Disorder Society<\/jats:p>","DOI":"10.1002\/mds.27568","type":"journal-article","created":{"date-parts":[[2018,12,17]],"date-time":"2018-12-17T15:39:55Z","timestamp":1545061195000},"page":"598-613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Movement Disorders in Treatable Inborn Errors of Metabolism"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0026-4714","authenticated-orcid":false,"given":"Darius","family":"Ebrahimi\u2010Fakhari","sequence":"first","affiliation":[{"name":"Department of Neurology, 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