“…Acute encephalopathic onset during the first year of life, characteristic brain CT/MRI findings, and detection of glutaric acid in the urine all support a diagnosis of GA-I [Bergman et al, 1989;Hoffmann et al, 1995]. Although a GCDH assay contributes to confirm the diagnosis, it requires radiolabeled glutaryl-CoA [Christensen and Brandt, 1978], which is difficult to synthesize in a laboratory.…”