Department of Pediatric, University Hospital Mohammed VI, Marrakech, Morocco
Case Report
Dysarthria without hepatic manifestation in children revealing Wilson's disease
Author(s): Rabiy El Qadiry, Imane Fetoui*, Houda Nassih, Aicha Bourrahouat and Iman Ait Sab
Wilson's disease is the consequence of a congenital error in copper’s metabolism. In children, its basic symptom is liver damage. It can be combined with various extra-intestinal manifestations, including neurological ones, which must suggest the diagnosis. We report two cases of dysarthria, with asymptomatic liver injury, revealing Wilson's disease and we detail clinical signs that should make this diagnosis in the child.
Case 1: 12-years-old boy, the first child of a non-consanguineous couple, had normal psychomotor development and schooling. He had consulted for dysarthria, hyper-salivation and tremor of the upper limbs associated with a micrographic started two months before hospitalization. Clinical examination revealed an extrapyramidal syndrome, abnormal movements were noted, associating a kinetic-rigid Parkinson syndrome and a dystonia .. View More»
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