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Neuropsychiatric complications in a patient with Marfan syndrome
Chin-Pang Lee1, Chun-Lin Chu1, Chia-Yih Liu1
11 Department of Psychiatry, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Background:
Marfan syndrome (MFS) is an autosomal dominant disorder of fibrillin-1 gene mutations, with the involvement of cardiovascular, skeletal, and ocular systems. In addition to physical abnormalities, MFS patients are also found to be susceptible to schizophrenia and other psychiatric conditions.
Objectives:
Awareness of the association between MFS and psychiatric conditions would improve the clinical management of MFS patients to reduce the risk or even to prevent the development of psychiatric complications in MFS patients.
Methods:
Here, we describe a male MFS patient who manifested incoherent speech and impaired cognitive and social function at the age of 40 years. Results and conclusion His mental dysfunction could be attributed to his bilateral cerebral infarction, which is a neurovascular complication associated with MFS.
Insights
Marfan syndrome (MFS), a genetic disorder affecting connective tissues, is linked to psychiatric conditions. This case highlights cerebral infarction as a potential cause of mental dysfunction in MFS patients.
Area of Science:
- Genetics and Medicine
- Neuroscience
Background:
- Marfan syndrome (MFS) is an autosomal dominant genetic disorder caused by fibrillin-1 gene mutations.
- MFS affects cardiovascular, skeletal, and ocular systems, and is associated with increased susceptibility to psychiatric conditions like schizophrenia.
Purpose of the Study:
- To raise awareness of the association between Marfan syndrome and psychiatric conditions.
- To improve clinical management of MFS patients by recognizing and mitigating psychiatric risks.
Main Methods:
- Case report of a 40-year-old male patient with Marfan syndrome.
- Detailed observation of patient's neurological and cognitive manifestations.
Main Results:
- The patient presented with incoherent speech, impaired cognitive function, and social dysfunction.
- These symptoms were attributed to bilateral cerebral infarction, a neurovascular complication linked to MFS.
Conclusions:
- Cerebral infarction is a potential neurovascular complication of Marfan syndrome.
- Recognizing this association is crucial for comprehensive patient care and management.
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