title: White matter changes in Wilson's disease: A radiological enigma.
abstract: Wilson's disease is a metabolic disorder which presents with hepatitis or hepatic decompensation commonly. Neurologic manifestations are late and include movement disorders, personality changes, and seizures. Magnetic resonance imaging (MRI) brain shows high signal changes in putamen, lentiform nucleus, thalamus, and brainstem. White matter lesions are rare. We report a child of Wilson's disease who presented to us with dystonia, rigidity, myoclonus and had symmetrical white matter changes in the fronto-parietooccipital region. Diffusion restriction in bilateral frontoparietal areas was also seen which is rare in chronic cases like ours. Atypical MRI characteristics should be considered in patients with clinical signs of neurological involvement in Wilson's disease as it is a devastating but treatable disease.
authors.affiliation: Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Soumava
authors.initials: S
authors.lastname: Mukherjee
authors.affiliation: Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Bhavesh
authors.initials: B
authors.lastname: Solanki
authors.affiliation: Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Goutam
authors.initials: G
authors.lastname: Guha
authors.affiliation: Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Shankar Prasad
authors.initials: SP
authors.lastname: Saha
keywords: Atypical magnetic resonance imaging; Wilson's disease; white matter changes