Isolated lingual involvement in Wilson’s disease

• Main Authors: Neera Choudhary, Laxmikant Joshi, Ashish Duggal, Vinod Puri, Geeta Anjum Khwaja
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-03-01
• Series: Journal of Neurosciences in Rural Practice
• Subjects: bradykinesia; lingual involvement; wilson’s disease
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.154578

Lingual involvement can occur in a variety of neurological disorders including pyramidal, extrapyramidal and lower motor neuron disorders. It can be seen in the form of tremor, bradykinesia, dystonia, atrophy and weakness of tongue movements and can clinically present as difficulty in swallowing and dysarthria which can be a source of great discomfort to the patient. We describe a patient who presented with isolated lingual involvement and was diagnosed to have Wilsons’s disease. This case emphasizes the clinical variability in presentation of Wilson’s disease and importance of early clinical diagnosis.