Wilson's disease with cognitive impairment and without extrapyramidal signs: improvement of neuropsychological performance and reduction of MRI abnormalities with trientine treatment. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Chung, Eun Joo; Kim, Eung Gyu; Kim, Sang Jin; Ji, Ki-Hwan; Seo, Jung Hwa
• Is Part Of: Neurocase. Volume 22:Issue 1(2016)
• Page Start: 40
• Page End: 44
• Publication Date: 2016-01-02
• Subjects: Wilson's disease -- neurologic form -- cognitive impairment -- magnetic resonance imaging -- neuropsychological test; Neurology -- Periodicals; Neuropsychology -- Case Report; Mental Disorders -- Case Report; Nervous System Diseases -- Case Report; 616.8
• DOI: 10.1080/13554794.2015.1032977
• Languages: English
• ISSNs: 1355-4794

Abstract

Abstract : Extrapyramidal signs are neurological dysfunction commonly associated with Wilson's disease (WD). In addition, cognitive dysfunction has been reported in the early stages of WD. In this report, we describe a 49-year-old woman presenting with memory impairments and without Parkinsonian or extrapyramidal signs. She was diagnosed with WD based on the presence of Kayser–Fleischer rings around the irises of her eyes and two ATP7B gene mutations, R778L at exon 8 and A874V at exdyon 11. Serial magnetic resonance imaging analysis and neuropsychological tests showed improvements following treatment with trientine.