Subscribe to RSS
DOI: 10.1055/s-0041-1740365
Laterotrusion (Side to Side) and Protrusion/Retraction Difficulty of Tongue in Two Children with Wilson's Disease
![](https://www.thieme-connect.de/media/10.1055-s-00029030/202206/lookinside/thumbnails/10-1055-s-0041-1740365_2100113-1.jpg)
Abstract
Involvement of tongue is uncommon in Wilson's disease (WD) in early stages. This is usually seen late when the patient has an established neurological WD associated with dyskinesia, dystonia, and tremors. In this article, we presented two children with tongue involvement in which there were slow laterotrusion (side to side) and protrusion and retraction movements. In the first child this was the early and only manifestation without any other neurological features while in the second child this was seen in a previously diagnosed WD. Slow tongue movements in any child with or without extrapyramidal features should be investigated to rule out a treatable condition like WD. Tongue involvement is common in children with different neurological/neuromuscular diseases, drugs, and other unknown conditions.
Publication History
Received: 25 September 2021
Accepted: 03 September 2021
Article published online:
17 December 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Taly AB, Meenakshi-Sundaram S, Sinha S, Swamy HS, Arunodaya GR. Wilson disease: description of 282 patients evaluated over 3 decades. Medicine (Baltimore) 2007; 86 (02) 112-121
- 2 Liao KK, Wang SJ, Kwan SY, Kong KW, Wu ZA. Tongue dyskinesia as an early manifestation of Wilson disease. Brain Dev 1991; 13 (06) 451-453
- 3 Goez HR, Jacob FD, Yager JY. Lingual dyskinesia and tics: a novel presentation of copper-metabolism disorder. Pediatrics 2011; 127 (02) e505-e508
- 4 Kumar TS, Moses PD. Isolated tongue involvement—an unusual presentation of Wilson's disease of post graduate medicine. Letters 2005; 51: 337
- 5 Nagappa M, Sinha S, Saini J, Bindu P, Taly A. Undulating tongue in Wilson's disease. Ann Indian Acad Neurol 2014; 17 (02) 225-226
- 6 Choudhary N, Joshi L, Duggal A, Puri V, Khwaja GA. Isolated lingual involvement in Wilson's disease. J Neurosci Rural Pract 2015; 6 (03) 431-433
- 7 Yoshida K. Botulinum neurotoxin therapy for lingual dystonia using an individualized injection method based on clinical features. Toxins (Basel) 2019; 11 (01) 51
- 8 Esper CD, Freeman A, Factor SA. Lingual protrusion dystonia: frequency, etiology and botulinum toxin therapy. Parkinsonism Relat Disord 2010; 16 (07) 438-441