Annals of Indian Academy of Neurology
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Year : 2015  |  Volume : 18  |  Issue : 1  |  Page : 115-116

Unilateral rubral tremors in Wilson's disease treated with dimercaprol

Department of Neurology, Topiwala National Medical College, Bai Yamunabai Laxman (B. Y. L.) Nair Charitable Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Rahul T Chakor
Department of Neurology, C. T. Scan Building, Topiwala National Medical College, B. Y. L. Nair Ch Hospital, Mumbai Central, Mumbai - 400 008, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-2327.144286

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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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