Abstract

HUANCO-CONDORI, Jéssica; TOMATEO-TORVISCO, Jorge David  and  CRUZADO, Lizardo. Wilson’s Disease: About A Late-Diagnosed Neuropsychiatric Case. Rev Ecuat Neurol [online]. 2022, vol.31, n.2, pp.97-102. ISSN 2631-2581.  https://doi.org/10.46997/revecuatneurol31200097.

The comprehensive assessment of a psychiatric case requires evaluating the symptoms from a comprehensive perspective, without bias, and suspecting unlikely pathologies where appropriate. We emphasize this from a case of Wilson's disease in which, as is frequent, the diagnosis was late. Clinical case: 36 year-old woman who from the age of 18 presented depressive and later psychotic symptoms, and her diagnosis was paranoid schizophrenia. The three-year diagnostic delay led to a poor evolution with permanent disabilities. The biased diagnostic attribution about parkinsonism as secondary to antipsychotics clouded the adequate diagnostic evaluation. Our case shows the need for a comprehensive neuropsychiatric perspective in the diagnostic evaluation. In a first case of psychosis, Wilson's disease should be considered within the differential diagnosis.

Keywords : Hepatolenticular Degeneration; muscle rigidity; neuropsychiatry..

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