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Unilateral rubral tremors in Wilson's disease treated with dimercaprol
Rahul T Chakor1, Haresh Bharote1, Nishikant Eklare1
1Department of Neurology, Topiwala National Medical College, Bai Yamunabai Laxman (B. Y. L.) Nair Charitable Hospital, Mumbai, Maharashtra, India.
Abstract:
Tremors are reported as the most frequent neurological manifestation of Wilson's disease (WD) in some series. Postural tremors, rest tremors, action tremors and wing-beating (rubral) tremors are the different types of tremors seen in WD. We report a patient of WD with unilateral rubral tremors refractory to 1-year therapy with Penicillamine and anti-tremor medications. The tremors decreased considerably after adding chelation therapy with dimercaprol. Combination of Penicillamine and dimercaprol is an effective decoppering measure in rubral tremors of WD.
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