|
1
|
Laterotrusion (Side to Side) and Protrusion/Retraction Difficulty of Tongue in Two Children with Wilson's Disease. JOURNAL OF PEDIATRIC NEUROLOGY 2021. [DOI: 10.1055/s-0041-1740365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
AbstractInvolvement of tongue is uncommon in Wilson's disease (WD) in early stages. This is usually seen late when the patient has an established neurological WD associated with dyskinesia, dystonia, and tremors. In this article, we presented two children with tongue involvement in which there were slow laterotrusion (side to side) and protrusion and retraction movements. In the first child this was the early and only manifestation without any other neurological features while in the second child this was seen in a previously diagnosed WD. Slow tongue movements in any child with or without extrapyramidal features should be investigated to rule out a treatable condition like WD. Tongue involvement is common in children with different neurological/neuromuscular diseases, drugs, and other unknown conditions.
Collapse
|
|
2
|
Agarwal A, Garg D, Qavi A. Undulating Tongue: A Window for Diagnosing Wilson's Disease. Mov Disord Clin Pract 2020; 7:475-476. [DOI: 10.1002/mdc3.12930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 12/05/2019] [Accepted: 01/29/2020] [Indexed: 11/05/2022] Open
Affiliation(s)
- Ayush Agarwal
- Department of Neurology Dr RML Institute of Medical Sciences Lucknow India
| | - Divyani Garg
- Department of Neurology Lady Hardinge Medical College New Delhi India
| | - Abdul Qavi
- Department of Neurology Dr RML Institute of Medical Sciences Lucknow India
| |
Collapse
|
|
3
|
El Otmani H. Undulating Tongue and Wilson's Disease. Mov Disord Clin Pract 2020; 7:477. [PMID: 32373672 PMCID: PMC7197314 DOI: 10.1002/mdc3.12932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 02/10/2020] [Accepted: 02/10/2020] [Indexed: 11/09/2022] Open
Affiliation(s)
- Hicham El Otmani
- Neurology Department, Ibn Rochd University Hospital and Genetic and Molecular Pathology Department, Faculty of Medicine and PharmacyHassan II UniversityCasablancaMorocco
| |
Collapse
|
|
4
|
Vilas D, Marcé-Grau A, Macaya A, Valls-Solé J, Tolosa E. Galloping tongue syndrome in a PRRT2 mutation carrier. NEUROLOGY-GENETICS 2019; 5:e377. [PMID: 31872056 PMCID: PMC6878943 DOI: 10.1212/nxg.0000000000000377] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 10/09/2019] [Indexed: 11/15/2022]
Affiliation(s)
- Dolores Vilas
- Parkinson's Disease and Movement Disorders Unit (D.V., E.T.), Neurology Service, ICN, Hospital Clínic, University of Barcelona, Spain; Pediatric Neurology Research Group (A.M.-G., A.M.), Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Spain; Electrophysiology Unit (J.V.-S.), Neurology Service, ICN, Hospital Clinic, University of Barcelona, Spain; Institut August Pi I Sunyer Biomedical Research Institute (IDIBAPS) (J.V.-S., E.T.)
| | - Anna Marcé-Grau
- Parkinson's Disease and Movement Disorders Unit (D.V., E.T.), Neurology Service, ICN, Hospital Clínic, University of Barcelona, Spain; Pediatric Neurology Research Group (A.M.-G., A.M.), Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Spain; Electrophysiology Unit (J.V.-S.), Neurology Service, ICN, Hospital Clinic, University of Barcelona, Spain; Institut August Pi I Sunyer Biomedical Research Institute (IDIBAPS) (J.V.-S., E.T.)
| | - Alfons Macaya
- Parkinson's Disease and Movement Disorders Unit (D.V., E.T.), Neurology Service, ICN, Hospital Clínic, University of Barcelona, Spain; Pediatric Neurology Research Group (A.M.-G., A.M.), Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Spain; Electrophysiology Unit (J.V.-S.), Neurology Service, ICN, Hospital Clinic, University of Barcelona, Spain; Institut August Pi I Sunyer Biomedical Research Institute (IDIBAPS) (J.V.-S., E.T.)
| | - Josep Valls-Solé
- Parkinson's Disease and Movement Disorders Unit (D.V., E.T.), Neurology Service, ICN, Hospital Clínic, University of Barcelona, Spain; Pediatric Neurology Research Group (A.M.-G., A.M.), Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Spain; Electrophysiology Unit (J.V.-S.), Neurology Service, ICN, Hospital Clinic, University of Barcelona, Spain; Institut August Pi I Sunyer Biomedical Research Institute (IDIBAPS) (J.V.-S., E.T.)
| | - Eduard Tolosa
- Parkinson's Disease and Movement Disorders Unit (D.V., E.T.), Neurology Service, ICN, Hospital Clínic, University of Barcelona, Spain; Pediatric Neurology Research Group (A.M.-G., A.M.), Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Spain; Electrophysiology Unit (J.V.-S.), Neurology Service, ICN, Hospital Clinic, University of Barcelona, Spain; Institut August Pi I Sunyer Biomedical Research Institute (IDIBAPS) (J.V.-S., E.T.)
| |
Collapse
|
|
5
|
Breiner A, Basndwah A, Warman-Chardon J, Bourque PR, Mestre TA. Intermittent undulating tongue as an involuntary movement in early amyotrophic lateral sclerosis. Parkinsonism Relat Disord 2019; 67:1-2. [PMID: 31621597 DOI: 10.1016/j.parkreldis.2019.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 08/26/2019] [Accepted: 09/01/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Ari Breiner
- Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital Research Institute, University of Ottawa Brain and Research Institute, Ottawa, Ontario, Canada
| | - Ahmed Basndwah
- Parkinson's Disease and Movement Disorders Center, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada
| | - Jodi Warman-Chardon
- Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital Research Institute, University of Ottawa Brain and Research Institute, Ottawa, Ontario, Canada
| | - Pierre R Bourque
- Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital Research Institute, University of Ottawa Brain and Research Institute, Ottawa, Ontario, Canada
| | - Tiago A Mestre
- Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada; Parkinson's Disease and Movement Disorders Center, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital Research Institute, University of Ottawa Brain and Research Institute, Ottawa, Ontario, Canada.
| |
Collapse
|
|
6
|
El Otmani H, Benhsain T, Abdulhakeem Z, El Moutawakil B, Rafai MA. Undulating Tongue Revealing Wilson's Disease. Mov Disord Clin Pract 2019; 6:605-607. [PMID: 31538096 DOI: 10.1002/mdc3.12802] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 04/13/2019] [Accepted: 05/10/2019] [Indexed: 12/20/2022] Open
Affiliation(s)
- Hicham El Otmani
- Faculty of Medicine and Pharmacy Hassan II University Casablanca Morocco.,Ibn Rochd University Hospital Casablanca Morocco
| | | | | | - Bouchra El Moutawakil
- Faculty of Medicine and Pharmacy Hassan II University Casablanca Morocco.,Ibn Rochd University Hospital Casablanca Morocco
| | - Mohammed Abdoh Rafai
- Faculty of Medicine and Pharmacy Hassan II University Casablanca Morocco.,Ibn Rochd University Hospital Casablanca Morocco
| |
Collapse
|
|
7
|
Shribman S, Warner TT, Dooley JS. Clinical presentations of Wilson disease. ANNALS OF TRANSLATIONAL MEDICINE 2019; 7:S60. [PMID: 31179297 DOI: 10.21037/atm.2019.04.27] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The main presenting features of Wilson disease, many of which mimic common hepatic and neurologic disorders, are discussed. There is a need for specialists in these and related fields to be aware of hints from within and, more importantly, outside their area of expertise that should alert them to consider the diagnosis. Delayed diagnosis and treatment are potentially damaging for the patient. The importance of recognising and promptly investigating Wilson disease at the initial presentation should be understood by all those who assess patients with hepatic or neurologic disorders and/or train others in their specialty.
Collapse
Affiliation(s)
- Samuel Shribman
- Reta Lila Weston Institute of Neurological Studies, UCL Queen Square Institute of Neurology, London, UK
| | - Thomas T Warner
- Reta Lila Weston Institute of Neurological Studies, UCL Queen Square Institute of Neurology, London, UK
| | - James S Dooley
- UCL Institute for Liver and Digestive Health, Division of Medicine, Royal Free Campus, London, UK
| |
Collapse
|