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Extraocular muscle dystonia due to acquired (non‐Wilsonian) hepatocerebral degeneration
Authors:Joseph Ferrara MD  Deepak Gupta MD  Emily Foster MD  Katherine Garman MD  Mark Stacy MD
Institution:Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, North Carolina
Abstract:We present a video report of a patient with advanced non‐Wilsonian cirrhotic liver disease who developed extraocular muscle dystonia (oculogyric crisis) and severe orofaciolingual dyskinesias. Acquired hepatocerebral degeneration causes choreic movements, especially of cranial muscles, but dystonic ocular spasm is an infrequent manifestation of this disorder. This case illustrates that AHD should be considered in the differential diagnosis of extraocular muscle dystonia. © 2008 Movement Disorder Society
Keywords:oculogyric crisis  extraocular muscle dystonia  hepatocerebral degeneration
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