Introduction: Wilson's disease, or hepatolenticular degeneration, is a rare genetic disease associated with copper metabolism, with autosomal recessive transmission. Recognized for its dramatic systemic and neurological effects, this disease has very relevant psychiatric symptoms which are often underestimated. Objectives: To describe a neuropsychiatric clinical case of Wilson's disease, summarizing the current scientific knowledge about neuropsychiatric pathology in this disease. Methods: Presentation of a clinical case with a non-systematic literature review about neuropsychiatric symptoms in Wilson's Disease. Results: The authors present the case of a 19-year-old woman with an early manifestation of neuropsychiatric symptoms of Wilson's disease, whose diagnosis and initiation of treatment were postponed due to the lack of recognition of this entity and the psychiatric stigma associated with behavioral alterations. Conclusion: A comprehensive and multisystemic medical approach should always be carried out before making a psychiatric diagnosis.
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