Therefore, muscular findings in GAA deficiency could include generalized weakness, tiredness and reduced work capacity, while neurological signs and symptoms involve brain fatigue, intellectual disability, behavior and movement disorders, with the features perhaps progress as GAA deficit being more notable 16, or being more severe owing to the early age at which the shortage begins 29. The gene discussed is GAA; the disease is hyperinsulinemic hypoglycemia, familial, 4.