Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2014  |  Volume : 17  |  Issue : 2  |  Page : 225--226

Undulating tongue in Wilson俟Q製 disease


M Nagappa1, S Sinha1, JS Saini2, PS Bindu1, AB Taly1 
1 Department of Neurology, National Institute of Mental Health and NeuroSciences NIMHANS), Bangalore, India
2 Department of Neuroimaging and Interventional Radiology (NIIR), National Institute of Mental Health and NeuroSciences NIMHANS), Bangalore, India

Correspondence Address:
S Sinha
MD, DM, Additional Professor of Neurology, Department of Neurology National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore - 560 029, Karnataka
India

We report an unusual occurrence of involuntary movement involving the tongue in a patient with confirmed Wilson俟Q製 disease (WD). She manifested with slow, hypophonic speech and dysphagia of 4 months duration, associated with pseudobulbar affect, apathy, drooling and dystonia of upper extremities of 1 month duration. Our patient had an uncommon tongue movement which was arrhythmic. There was no feature to suggest tremor, chorea or dystonia. It might be described as athetoid as there was a writhing quality, but of lesser amplitude. Thus, the phenomenology was uncommon in clinical practice and the surface of the tongue was seen to 非Q裸ipple非Q like a liquid surface agitated by an object or breeze. Isolated lingual dyskinesias are rare in WD. It is important to evaluate them for WD, a potentially treatable disorder.


How to cite this article:
Nagappa M, Sinha S, Saini J S, Bindu P S, Taly A B. Undulating tongue in Wilson's disease.Ann Indian Acad Neurol 2014;17:225-226


How to cite this URL:
Nagappa M, Sinha S, Saini J S, Bindu P S, Taly A B. Undulating tongue in Wilson's disease. Ann Indian Acad Neurol [serial online] 2014 [cited 2021 Apr 23 ];17:225-226
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=2;spage=225;epage=226;aulast=Nagappa;type=0