Answers-5 MENTAL RETARDATION. Fragile X syndrome-commonest male cause. Hypoxia at birth, intaventricular haemorrhage, rhesus disease, Congenital infections - toxoplasmosis, CMV, rubella, herpes), hypoglycaemia, meningitis, hypothyroidism (cretinism, tuberous sclerosis, Down's, Tay-Sach's, Cornelia De Lange, Hartnup - biochemical, treatable with diet. -homocystinuria, phenylketonuria -maple syrup urine disease, tryptophanuria -galactosaemia