Doença de Wilson diagnóstico clínico e sinais das "faces do panda" à ressonância magnética

Abstract

A 25 year-old man was admitted with polimorph symptomatology resembling basal ganglia disease associated with psychiatric manifestations. The patient had been treated with pericyazine. The drug was stopped but the symptomatology did not improve. The diagnosis of Wilson's disease was established through ophthalmologic examination with slit-lampthat revealed the Kayser-Fleischer ring and laboratory abnomalities showing a low serum ceruloplasmin level and increased urinary copper excretion. T2-weighted axial magnetic resonance imaging demonstrated the "face of panda signs" in the midbrain and pons.