Table 1
Timeline of events in patient with Wilson disease.
| AGE | EVENT |
|---|---|
| 19 |
|
| 24 |
|
| 29 |
|
[i] Abbreviations: LT = liver transplant; WD = Wilson Disease; ED = emergency department.
Video 1
Neurological Examination Demonstrating Dystonia and Associated Hyperkinetic Movements.
0:00–0:20: While performing finger tapping with the arms extended, dystonic tremors and posturing of the bilateral upper extremities and neck are present. Intermittent truncal jerks are transmitted to the head and neck.
0:20–1:18: The patient exhibits limited neck rotation and tilting. With active head turning to the right, a mild “no-no” head tremor emerges, accompanied by abnormal neck posturing. Flexion and extension of the neck are full.
1:18–1:54: When writing with his right hand, there is task-induced jerky tremor of the right upper extremity with superimposed irregular, brief myoclonic-appearing movements. Simultaneously, there is a slight extension of the left thumb, and involuntary plantarflexion and inversion of the left foot are observed.
1:54–2:27: When writing with the left hand, there is a dystonic posturing of the right hand, including flexion of the first two digits, along with recurrence of left foot inversion and plantarflexion.