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Depression in wilson's disease
R S Pandey1, H S Swamy, K N Sreenivas
1Lecturer in Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore-560029.
Wilson's Disease often presents with psychiatric symptoms, most commonly depression. Severity of depression correlates with the extent of neurological impairment in patients with this rare genetic disorder.
Area of Science:
- Neurology
- Psychiatry
- Genetics
Background:
- Wilson's Disease is a rare genetic disorder causing copper accumulation.
- Neurological and psychiatric manifestations are common in Wilson's Disease.
Purpose of the Study:
- To investigate the prevalence and nature of psychiatric symptoms in patients with Wilson's Disease.
- To explore the relationship between psychiatric symptoms and neurological features.
Main Methods:
- A cohort of 23 Wilson's Disease patients were individually assessed by a psychiatrist and neurologist.
- Clinical evaluation focused on identifying psychiatric symptoms and extrapyramidal features.
Main Results:
- Clinically significant psychiatric symptoms were identified in 11 out of 23 patients.
- Depressed affect was the most frequent psychiatric finding.
- A strong correlation was observed between severe depressed affect and severe extrapyramidal symptoms.
Conclusions:
- Psychiatric symptoms, particularly depression, are prevalent in Wilson's Disease.
- The severity of psychiatric manifestations, especially depression, is linked to the degree of neurological involvement.
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