Wilson disease - Challenge for safe anesthesia

Clinical findings may vary from neuropsychiatric symptoms like tremor, dysarthria, seizures, and hepatic symptoms like acute liver failure, chronic hepatitis, and cirrhosis. [...]we report a case of successful anesthetic management of WD patient posted for orthopedic surgery. Regional anesthesia also reduces the requirements of systemic analgesics including opioids which may require hepatic metabolism and minimize the risk of neurologic deterioration and hemodynamic alterations. [...]in WD, altered visual and auditory evoked potentials suggest cerebral damage but normal somatic-sensory evoked potential has made regional anesthesia as a better and safe anesthetic method in these patients.