Background: Wilson’s disease is a rare autosomal recessive genetic disorder of copper metabolism and patients with Wilson’s or other severe liver diseases are at risk when undergoing anesthesia and surgery.
Case Report: We report the case of a neurologically impaired (lack of motor coordination, spasticity and dystonia of all four limbs, and drooling) 18-year-old male who was diagnosed with Wilson’s disease 5 years earlier. He underwent intramedullary nailing for femoral fracture with spinal anesthesia and no complication was observed.
Conclusions: In patients with cerebral manifestations of Wilson’s disease, in appropriate surgical procedures spinal anesthesia may be used as the anesthesia method.

Keywords: Liver Diseases, regional anesthesia, Wilson’s disease