title: Isolated lingual involvement in Wilson's disease.
abstract: 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.
authors.affiliation: Department of Neurology, GB Pant Institute of Postgraduate Medicine and Research, Delhi, India.
authors.forename: Neera
authors.initials: N
authors.lastname: Choudhary
authors.affiliation: Department of Neurology, GB Pant Institute of Postgraduate Medicine and Research, Delhi, India.
authors.forename: Laxmikant
authors.initials: L
authors.lastname: Joshi
authors.affiliation: Department of Neurology, GB Pant Institute of Postgraduate Medicine and Research, Delhi, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Duggal
authors.affiliation: Department of Neurology, GB Pant Institute of Postgraduate Medicine and Research, Delhi, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Puri
authors.affiliation: Department of Neurology, GB Pant Institute of Postgraduate Medicine and Research, Delhi, India.
authors.forename: Geeta Anjum
authors.initials: GA
authors.lastname: Khwaja
keywords: Bradykinesia; Wilson's disease; lingual involvement