Charcot-Marie-Tooth Disease, X-Linked Recessive, 4, with or Without Cerebellar Ataxia, also known as cowchock syndrome, is related to charcot-marie-tooth disease x-linked recessive 4 and charcot-marie-tooth disease. An important gene associated with Charcot-Marie-Tooth Disease, X-Linked Recessive, 4, with or Without Cerebellar Ataxia is AIFM1 (Apoptosis Inducing Factor Mitochondria Associated 1). Affiliated tissues include brain and peripheral nerve, and related phenotypes are cognitive impairment and elevated hepatic transaminase