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Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study
Acute onset neurological symptoms evoked by traumatic, surgical, or emotional events in Wilson disease (WD) have never been reported and its clinical characteristics are unclear. We aimed to summarize the clinical characteristics of a special WD whose neurological symptoms acutely developed after tr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617243/ https://www.ncbi.nlm.nih.gov/pubmed/31261498 http://dx.doi.org/10.1097/MD.0000000000015917 |
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author | Li, Liang-Yong Zhu, Xiao-Qun Tao, Wei-Wei Yang, Wen-Ming Chen, Huai-Zhen Wang, Yu |
author_facet | Li, Liang-Yong Zhu, Xiao-Qun Tao, Wei-Wei Yang, Wen-Ming Chen, Huai-Zhen Wang, Yu |
author_sort | Li, Liang-Yong |
collection | PubMed |
description | Acute onset neurological symptoms evoked by traumatic, surgical, or emotional events in Wilson disease (WD) have never been reported and its clinical characteristics are unclear. We aimed to summarize the clinical characteristics of a special WD whose neurological symptoms acutely developed after traumatic, surgical, or emotional events. Retrospective pilot study. Thirty-one patients who had acute onset neurological symptom as an initial presentation of WD or a new presentation of hepatic WD after mild trauma, surgery, or emotional events were retrospectively studied. All patients were followed for half to 1 year after regular anti-copper treatment. The averaged latency for neurological symptom presentation was 2.79 ± 1.21 hours. The most frequent neurological symptoms were tremor (74%) and basal ganglia (BG) lesions were detected on magnetic resonance imaging in all patients. Lesions in other regions were much less frequently detected. Neurological symptom score and its recovery after treatment were correlated with lesion location: BG area and BG plus other brain areas. Neurological symptoms improved in 21 patients who received timely anti-copper treatment but continued to deteriorate in 6 patients who did not accept regular anti-copper treatment for delayed diagnosis. A diagnosis of WD should be considered when adolescents or adults experience acute presentation of extrapyramidal systems after traumatic, surgical, or emotional stimulation. Timely anti-copper therapy usually gives rise to an excellent prognosis. |
format | Online Article Text |
id | pubmed-6617243 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-66172432019-07-22 Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study Li, Liang-Yong Zhu, Xiao-Qun Tao, Wei-Wei Yang, Wen-Ming Chen, Huai-Zhen Wang, Yu Medicine (Baltimore) Research Article Acute onset neurological symptoms evoked by traumatic, surgical, or emotional events in Wilson disease (WD) have never been reported and its clinical characteristics are unclear. We aimed to summarize the clinical characteristics of a special WD whose neurological symptoms acutely developed after traumatic, surgical, or emotional events. Retrospective pilot study. Thirty-one patients who had acute onset neurological symptom as an initial presentation of WD or a new presentation of hepatic WD after mild trauma, surgery, or emotional events were retrospectively studied. All patients were followed for half to 1 year after regular anti-copper treatment. The averaged latency for neurological symptom presentation was 2.79 ± 1.21 hours. The most frequent neurological symptoms were tremor (74%) and basal ganglia (BG) lesions were detected on magnetic resonance imaging in all patients. Lesions in other regions were much less frequently detected. Neurological symptom score and its recovery after treatment were correlated with lesion location: BG area and BG plus other brain areas. Neurological symptoms improved in 21 patients who received timely anti-copper treatment but continued to deteriorate in 6 patients who did not accept regular anti-copper treatment for delayed diagnosis. A diagnosis of WD should be considered when adolescents or adults experience acute presentation of extrapyramidal systems after traumatic, surgical, or emotional stimulation. Timely anti-copper therapy usually gives rise to an excellent prognosis. Wolters Kluwer Health 2019-06-28 /pmc/articles/PMC6617243/ /pubmed/31261498 http://dx.doi.org/10.1097/MD.0000000000015917 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Li, Liang-Yong Zhu, Xiao-Qun Tao, Wei-Wei Yang, Wen-Ming Chen, Huai-Zhen Wang, Yu Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title | Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title_full | Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title_fullStr | Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title_full_unstemmed | Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title_short | Acute onset neurological symptoms in Wilson disease after traumatic, surgical or emotional events: A cross-sectional study |
title_sort | acute onset neurological symptoms in wilson disease after traumatic, surgical or emotional events: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617243/ https://www.ncbi.nlm.nih.gov/pubmed/31261498 http://dx.doi.org/10.1097/MD.0000000000015917 |
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