“wing‐beating” tremor is typical of Wilson's disease. It is characterized by a low‐frequency, high‐amplitude, posture‐induced proximal arm tremor, elicited by sustained abduction of the arms, with flexed elbows and palms facing downward. Classically, this specific tremor does not respond well to drug therapy.
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Wing-beating tremor in Wilson’s disease Wing-beating tremor is a classic neurological sign seen in Wilson’s disease, a genetic disorder of copper metabolism that affects the basal ganglia, cerebellum, and liver. What is wing-beating tremor? It is a coarse, irregular, proximal tremor of the arms that appears when the patient extends the arms sideways (abducts the shoulders) and flexes the elbows, resembling the flapping of bird wings. Why does it occur in Wilson’s disease? Due to copper depositio
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