Idiopathic Thrombocytopenia and Neurologic Manifestations in A Young Female Leading to the Diagnosis of Wilson’s disease

authors:

avatar Seyed Mohammad Salar Zaheryany 1 , avatar Reza Bidaki 2 , * , avatar Nahid Hemmatian Brujeni 1 , avatar Mohammad Rezvani 1 , avatar Mitra Hakim Shooshtari 1

Tehran University of Medical Sciences, Tehran, Iran
Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Iranian Journal of Psychiatry and Behavioral Sciences: Vol.6, issue 2; 99-6
published online: December 30, 2012
article type: Case Report
received: August 27, 2011
revised: August 02, 2012
accepted: September 01, 2012

how to cite: Zaheryany S M S, Bidaki R , Hemmatian Brujeni N, Rezvani M, Hakim Shooshtari M. Idiopathic Thrombocytopenia and Neurologic Manifestations in A Young Female Leading to the Diagnosis of Wilson’s disease. Iran J Psychiatry Behav Sci. 2012;6(2): 99-6. 

Abstract

We present a 19-year-old patient with hematologic and neurologic manifestations associated with Wilson’s disease. Idiopathic thrombocytopenia was diagnosed in October 2009. Bone marrow aspiration was normal. Gradually her neurologic and psychiatric symptoms emerged, dysarthria, writing apraxia, learning difficulties, emotionalism and eventually dystonia of hands. The serum ceruloplasmin was low, and the Kayser Fleischer's ring was positive. MRI of the brain showed abnormality in the bilateral basal ganglia, brain stem and superior cerebellar peduncles without post-contrast enhancement.
Declaration of interest: None
Citation: Zaheryany SMS, Bidaki R, Hemmatian Brujeni N, Rezvani M, Hakim Shooshtari M, Idiopathic thrombocytopenia and neurologic manifestations in a young female leading to the diagnosis of Wilson’s disease. Iran J Psychiatry Behav Sci 2012; 6(2): 96-99

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