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Wilson disease

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Worsening gait and cerebellar signs

Patient Data

Age: 6 years

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

Diffuse T2 hyperintensities and restricted DWI signal of the pons with extension into the middle cerebellar peduncles. Also similar increased T2 signal of the symmetric basal ganglia, including the caudate nuclei, putamina, as well as the ventrolateral thalami, without the restriction of diffusion.

Case Discussion

Typical CNS appearances of Wilson disease, which was proven.

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