This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Lysosomal Storage Diseases, Subject name: Pediatrics
All are seen in metachromatic leukodystrophy EXCEPT: 
Select and explain. 
A. Mental retardation, B. Optic atrophy, C. Decerebrate posture, D. Exaggerated tendon reflexes
D: Exaggerated tendon reflexes
Answer: D: Exaggerated tendon reflexes 
Explanation: Metachromatic leukodystrophy (MLD): Caused by defective enzyme Arylsulfatase A There is hypotonia and absent reflexes Mental retardation Optic atrophy Decerebrate posture