Rare Initial Presentation of Wilson’s Disease as Acute Encephalopathy with Recurrent Seizure

Basal ganglia-based movement abnormalities are the hallmark of the neuropsychiatric presentation of Wilson’s disease. Seizures are rarely reported in Wilson’s disease, especially as the initial presentation. We report a case of a 17-year-old male who was admitted with recurrent seizures and initially treated as a case of encephalitis and on subsequent follow-up diagnosed with Wilson’s disease. This case highlights the importance of considering the possibility of Wilson’s disease in young patients presenting with unexplained encephalopathy.