{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T03:19:09Z","timestamp":1789096749397,"version":"build-2803163510"},"reference-count":5,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A clinical picture of isolated dysarthria is relatively uncommon, and the underlying condition causing it can be easily misdiagnosed. In this case, a 24\u2010year\u2010old Indian male presented with complaints of slurring of speech occurring for the past 9 months. The patient also complained of difficulty swallowing food using his tongue. There was also a history of excessive drooling of saliva. There was no history of involuntary movements suggestive of tremor, limb dystonia, Parkinsonism, ataxia, behavioral abnormalities, or any significant cognitive impairment. The patient's parents had a non\u2010consanguineous marriage, and there were no similar complaints among the patient's siblings. The patient was started on copper chelating agents and speech therapy and noticed remarkable improvement as per his own account. Clinical examination showed Kayser\u2010Fleischer rings in the eyes, raised serum ceruloplasmin, and significant MRI findings. If symptoms like isolated dysarthria are encountered, a thorough work\u2010up must be done to rule out any underlying neurological problems. The key teaching point revolves around the consanguinity of marriages in India should raise an index of suspicion for autosomal recessive conditions and movement disorders.<\/jats:p>","DOI":"10.1002\/ccr3.71663","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T04:50:52Z","timestamp":1765428652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Diagnosis Hidden in Plain Sight: A Rare Presentation of Isolated Dysarthria in Wilson's Disease\u2014A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5308-3601","authenticated-orcid":false,"given":"Kruthika","family":"Reddy","sequence":"first","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9292-9535","authenticated-orcid":false,"given":"Maanini","family":"Singhvi","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9897-0299","authenticated-orcid":false,"given":"Archana B.","family":"Netto","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9067-9402","authenticated-orcid":false,"given":"B.","family":"Thejus","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8031-2822","authenticated-orcid":false,"given":"Leroy D.","family":"Souza","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3601-3886","authenticated-orcid":false,"given":"Deepak B.","family":"Shivananda","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1014-371X","authenticated-orcid":false,"given":"Samyuktha Vinu","family":"Nair","sequence":"additional","affiliation":[{"name":"Bangalore Medical College and Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3766-3096","authenticated-orcid":false,"given":"Deepak","family":"Rai","sequence":"additional","affiliation":[{"name":"Amppipal Hospital  Gorkha Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2019.02.016"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.5582\/irdr.2017.01057"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jceh.2018.08.009"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e318045a00e"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2007.09.009"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:30:19Z","timestamp":1766399419000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":5,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/ccr3.71663"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71663","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71663"}}