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Prior noncontrast computed tomography (a-d) of the patient with glutaric aciduria type 1, obtained at 7 years of age, showing periventricular white matter hypodensities and cerebral atrophy with predominant involvement of temporal lobes, seen as increased cerebrospinal fluid space anterior to temporal lobes (red arrows) and lack of operculation bilaterally leading to bat wing configuration of sylvian fissures (yellow arrows).
