Ann Lab Med.  2020 Nov;40(6):500-503. 10.3343/alm.2020.40.6.500.

Late Diagnosis of Wilson Disease, Initially Presenting as Cerebellar Atrophy Mimicking Spinocerebellar Ataxia, by Multigene Panel Testing

Affiliations
  • 1Departments of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 2Departments of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea


Figure

  • Fig. 1 T2-weighted magnetic resonance images of the patient. (A) The axial image does not show high signal intensity in the midbrain (red arrow). (B) The axial image does not show high signal intensity in the thalamus (red arrows) or putamen (red arrowheads).(C) The sagittal image shows cerebellar atrophy (yellow arrow).

  • Fig. 2 Sanger sequencing of the proband’s family revealed that his parents and sister are heterozygous for the variant detected in the proband.


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