Wilson disease

Case contributed by Md Imdadul Islam , 20 Sep 2021
Diagnosis certain
Changed by Md Imdadul Islam, 10 Oct 2021

Updates to Case Attributes

Body was changed:

Symmetrical hyperintensity involving caudate head , putamen and thalamus noted. On USG correlation liver cirrhosis was observed.KF ring visualised on examining the eye.

Some times high signal intensity noted in tegmentum with preservation of substantial nigra and red nucleus signal giving rise to Face of the giant panda sign (midbrain).However this sign is not present in our case.

Differential diagnosis are Leigh disease and PKAN

  • -<p>Symmetrical hyperintensity involving caudate head , putamen and thalamus noted. On USG correlation liver cirrhosis was observed.KF ring visualised on examining the eye.</p><p>Some times high signal intensity noted in tegmentum with preservation of substantial nigra and red nucleus signal giving rise to <a title="Face of the giant panda sign (midbrain)" href="/articles/face-of-the-giant-panda-sign-midbrain">Face of the giant panda sign (midbrain)</a>.However this sign is not present in our case.</p>
  • +<p>Symmetrical hyperintensity involving caudate head , putamen and thalamus noted. On USG correlation liver cirrhosis was observed.KF ring visualised on examining the eye.</p><p>Some times high signal intensity noted in tegmentum with preservation of substantial nigra and red nucleus signal giving rise to <a href="/articles/face-of-the-giant-panda-sign-midbrain">Face of the giant panda sign (midbrain)</a>.However this sign is not present in our case.</p><p>Differential diagnosis are <a title="Leigh disease" href="/articles/leigh-syndrome-3">Leigh disease</a> and <a title="Pantothenate kinase-associated neurodegeneration (PKAN)" href="/articles/pantothenate-kinase-associated-neurodegeneration">PKAN</a>. </p>

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