Widened Bat wing syln fissures is associated with?: (A) Maple Syrup urine disease, (B) Galactosemia, (C) Canavans Disease, (D) Glutaric Aciduria
Answer is D. Bat wing syln fissure- Glutaric aciduria type 1 Glutaric aciduria type I is caused by an inherited deficiency of the enzyme glutaryl-CoA dehydrogenase. This leads to accumulation of glutaric acid and 3-hydroxyglutaric acid in the brain and body fluids, including urine (hence the name glutaric aciduria). Figure: Axial T2 weighted image showing Bat wing syln fissure Figure: Axial T2 weighted image MRI showing Bat wing syln fissure.