Mahum Zaidi, Rizwan Ajmal, Bushra Rehan, Muhammad Wasif



This is a case of a 28 year old male,known case of Wilson’s disease with CLD. He received D- Penicillamine for last 7 years but stopped treatment 6months back. MRI done 7 years back showed features of high signals within caudate and lentiform nuclei. Fresh MRI brain was ordered which to our surprise showed atrophy of caudate and lentiform with regression in high signals as compared to previous scan along with this, subtle high signals on diffusion weighted images were seen in Parieto-occipital cortex bilaterally, which are not the usual sites of involvement in Wilson’s disease.

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