CHILDHOOD NEUROLOGICAL WILSON – A DISEASE WITH ENIGMATIC CLINICAL PRESENTATIONS AND MAGNETIC RESONANCE IMAGING

MRI in Wilson – A Disease

Abstract

An 11-year-old girl, born to "non-consanguineous" parents presented with drooling of saliva, protrusion of tongue and difficulty in speech. She had signs of pyramidal tracts involvement, bulbar dysfunction and lingual dyskinesia. Magnetic resonance imaging (MRI) of brain revealed classical findings in basal ganglia consistent with Wilson Disease. Aggressive medical treatment was started with strict follow-up visits. It is always difficult to sift through the myriad neurological presentations, to reach a definite diagnosis in a child with this rare disease. Early and prompt treatment is imperative not only for the child but also for other siblings.