Slightlymadscotland, you are partly right.
The genetics of mitochondrial disease is unknown in at least 80% of cases. This is because the "defect" can be found either in the mitochondria itself, which is inherited from the mother, in which case 100% of the trait WILL occur in other siblings (DS1 is at this point symptom-free).
Or it can come from DNA contained in the nucleus - in which case if the gene trait is recessive 25% of siblings will be effected, if the gene trait is dominant there is a 50% chance of the trait recurring.
Or it could be a combination of the two, or it could be random.
It is such a new "science", each case is different, and unless you know which gene is defective it is not screenable.