İlk bulgusu ekstrapiramidal semptom olan Wilson hastalığı: Olgu sunumu

Wilson hastalığı, bakır metabolizmasındaki bozukluğa bağlı olarak karaciğer ve beyinde dejeneratif değişikliklere yol açan, otozomal resesif geçiş gösteren nadir görülen bir hastalıktır. Kolunda hareket kısıtlılığı ile başvuran hastada yapılan tetkikler sonucunda Wilson Hastalığı tanısı konularak medikal tedavi uygulandı. Wilson Hastalığı klinik, laboratuvar ve görüntüleme bulguları literatür ışığında gözden geçirildi.

Wilson’s disease with extrapyramidal symptom as the first finding: A case

Wilson’s disease is rarely seen an autosomal recessive disorder which leads to degenerations in liver and brain due to disorder in copper metabolism. It was determined for a patient with limited arm movement after physical examination, and medical treatment was administrated. Clinical, laboratories and radiology findings of the patients were compared in detail with the current literary.

___

  • 1. Kalra V, Mahajan S, Kesarwani PK. Rare presentation of Wilson's disease: a case report. Int Urol Nephrol. 2004;36: 289-291.
  • 2. Oder W, Grimm G, Kollegger H, et all. Neurological and neuropsychiatric spectrum of Wilson's disease: a prospective study of 45 cases. J Neurol. 1991;238: 281-287.
  • 3. Sener RN. Diffusion MRI findings in Wilson's disease. Comput Med Imaging Graph. 2003;27: 17-21.
  • 4. Vassiliev V, Harris ZL, Zatta P. Ceruloplasmin in neurodegenerative diseases. Brain Res Brain Res Rev. 2005;49: 633-640.
  • 5- Chan KH, Cheung RT, Au-Yeung KM, et all. Wilson's disease with depression and parkinsonism. J Clin Neurosci. 2005;12: 303- 305.
  • 6- Emlik D, kreşi DA, Karaacakoğlu A, Akpınar Z. Wilson hastalığı: BT ve MRG bulguları. Genel Tıp Derg 2001;11: 85-88.
  • 7- King AD, Walshe JM, Kendall BE, et all. Cranial MR imaging in Wilson's disease. AJR Am J Roentgenol. 1996;167: 1579-1584.
  • 8- Kozic D, Svetel M, Petrovic B, et all. MR imaging of the brain in patients with hepatic form of Wilson's disease. Eur J Neurol. 2003;10: 587-592.
  • 9- Alanen A, Komu M, Penttinen M, Leino R. Magnetic resonance imaging and proton MR spectroscopy in Wilson's disease.Br J Radiol. 1999;72: 749-756.
  • 10- Savranlar A, Ozer T, Aydemir S, Alkan A, Borazan A. Proton Magnetic Resonance Spectroscopy Findings Of Wilson’s Disease: Case Report. J.Neurol.Sci. (Turk) 2005;22: 297-303.
  • 11- Ferenci P, Caca K, Loudianos G, et all. Diagnosis and phenotypic classification of Wilson disease. Liver Int. 2003; 23:139-142.
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: 4
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU