Wilson’s disease: neurological features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Wilson’s disease: neurological features. Fixed forced smile (risus sardonicus). Fully referenced neurology checklist.
Dystonic features
- Fixed forced smile (risus sardonicus)
- Sustained open-mouth smile (vacuous smile)
- Excessive grinning to mild stimuli
- Tremor
- Wing-beating or flapping tremor
Associated movement disorders
Locked: subscribe to see this section.
Associated neurological features
Locked: subscribe to see this section.
Ophthalmic features
Locked: subscribe to see this section.
Psychiatric features
Locked: subscribe to see this section.
Clinical features related to Zinc therapy
Locked: subscribe to see this section.
References
- Lorincz MT. Neurologic Wilson’s disease. Ann N Y Acad Sci 2010; 1184:173-187.
- Bandmann O, Weiss KH, Kaler SG. Wilson’s disease and other neurological copper disorders. Lancet Neurol 2015; 14:103-113.
- Roberts EA, Schilsky ML. Diagnosis and treatment of Wilson disease: an update. Hepatology 2008; 47:2089-2111.
- Cetlin RS, Rodrigues GR, Pena-Pereira MA, Oliveira DS, Souza CP, Tumas V. Teaching video neuroimages: excessive grinning in Wilson disease. Neurology 2009; 73:e73.
- Kumar N, Kumar D. Teaching Video NeuroImages: Myoclonus as the presenting feature of Wilson disease. Neurology 2019; 92:e1667-e1668.
- And 14 more. Subscribe to see the full list
