engleski

Psychosis and Eilsons disease: report of a case

We present a case of a 26-year-old womem with clinical picture of acute psychosis, as the first and main manifestation of Wilsons disease, who developed abnormal involuntary choreoathetoid limb movements, few days after initiation of neuroleptic therapy. At the first movement neurological symptoms were misinterpreted as silde effect of haloperidol, but consulted neurologist suggested additional diagnostic procedure which confirmed Wilsons disease. Psychiatric symptomatology and abnormal involuntery movements were the clinical manifestation of this disease, which improved with neuroleptic and chelating treatment. Interdisciplinary approach with good colaboration of psychiatrists and neurologists is crucial for Wilsons disease, because early diagnosis and treatment without delay is critical to the prognosis. This case serves as a reminder that involunatary movements can be side effect of antipsychotics but also the clinical manifestation of some illnesses, for example Wilsons, Huntingtons and Fuhrs diseases.

psychosis; Wilsons disease; neuroleptics; involuntary movement; chelation therapy; cooper

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