Neurologic Wilson Disease Presenting with Acute Delirium And Automatic Writing Behaviour: A Case Report

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Author Info

Deniz Ertem Dilşat Türkdoğan Engin Tutar Esra Polat Gazanfer Ekinci Gülten Thomas

Corresponding Author

Deniz Ertem
Division of Pediatric Gastroenterology, Marmara University School of Medicine, Istanbul, Turkey

A B S T R A C T

Introduction: Wilson’s disease (WD) is a rare autosomal recessive disorder which leads to abnormal copper deposition in multiple tissues. Due to extensive deposition of copper in the liver and brain, WD primarily manifests with a wide range of symptoms as well as psychiatric symptoms. Method: We report a 15-year-old boy presenting with automatic writing behavior and acute neuropsychiatric symptoms; splenomegaly and elevated transaminase levels. Result: A diagnosis of WD was later made, following liver biopsy. Previously, increased writing activity has been reported in cerebrovascular disease, frontal lobe dementia, temporal lobe epilepsy, Parkinson disease and multiple sclerosis but not in WD. Conclusion: This is the first report of increased writing behavior in WD.

Article Info

Article Type

Case Report

Publication history

Received: Sat 04, May 2019
Accepted: Fri 21, Jun 2019
Published: Sat 17, Aug 2019

Copyright

© 2023 Deniz Ertem. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JBEM.2019.01.01