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laboratory hallmark of MLS is the peripheral acanthocytosis, featured by irregular horn-like projections on the surface of red blood cells. As seen in Table I , the neuroacanthocytoses vary in pathogenesis and clinical presentation. These syndromes are rare, with a prevalence ranging from approximately 1000 cases worldwide for chorea acanthocytosis to an estimated 150 to 300 cases worldwide for MLS. Table I. The main neuroacanthocytoses are MLS and chorea acanthocytoses. Both diseases affect the central and peripheral nervous system, resulting in cognitive