Late Manifestation of Wilson’s Disease: A Case Report

Czech version

Authors: M. Vališ ¹; R. Taláb ¹; J. Bártová ²; P. Hůlek ²; J. Žižka ³; J. Masopust ⁴
Authors‘ workplace: Neurologická klinika LF UK a FN Hradec Králové ¹; I. interní klinika LF UK a FN Hradec Králové ²; Radiologická klinika LF UK a FN Hradec Králové ³; Psychiatrická klinika LF UK a FN Hradec Králové ⁴
Published in: Cesk Slov Neurol N 2007; 70/103(3): 328-331
Category: Case Report

Overview

A case of a woman examined repeatedly at different medical workplaces because of a progressive tremor of the head is presented. This symptom started at the patient’s age of 55 years. The investigations have not revealed etiology of the clinical state so far. Previous therapy was also ineffective. The patient was sent for an examination to our department seven years after the symptoms had appeared. The liver biopsy showed an increased copper amount in the liver, and that led to the diagnosis of Wilson’s disease. The symptoms of the disease were atypical and occurred late. This case-report has confirmed possibility of a rare occurrence of this disease in elderly patients with dyskinesia without clear etiology.

Key words:
Wilson´s disease – tremor – liver biopsy – ceruloplasmin – magnetic resonance

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