Manifestation of “Wing-Beating” Tremors Along With Appearance of the “Giant Panda” Sign on Brain MRI in Neuro Wilson's Disease Due to Treatment Failure: A Case Report

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-04-21 DOI:10.1002/ccr3.70456

Rupal Vikas Dosi, Kush Pankaj Shah, Jeel Narendra Sarvaiya, Dakshi Jignesh Kadakia, Dax Rajendra Patel, Aarushi Mishra

引用次数: 0

Abstract

We report a patient of neuro Wilson's disease who presented with “wing-beating” tremors and “giant panda” sign on magnetic resonance imaging, 1 year after initiation of treatment with zinc acetate. We focus on the importance of initiating copper chelator therapy as the first line treatment as it improves the prognosis and prevents irreversible complications.

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治疗失败的神经性威尔逊病脑MRI表现为“振翅”震颤伴“大熊猫”征1例

我们报告一位神经性威尔逊氏病患者，在接受醋酸锌治疗一年后，在磁共振成像上表现为“拍打翅膀”震颤和“大熊猫”征。我们关注的重点是启动铜螯合剂治疗作为一线治疗的重要性，因为它可以改善预后并防止不可逆的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).