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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282XOn-line version ISSN 1678-4227


BRITO, José Correia de Farias; COUTINHO, Mário de Almeida Pereira; ALMEIDA, Hermano José Falcone de  and  NOBREGA, Paulo Virgolino da. Wilson's disease: clinical diagnosis and "faces of panda" signs in magnetic resonance imaging. Case report. Arq. Neuro-Psiquiatr. [online]. 2005, vol.63, n.1, pp.176-179. ISSN 0004-282X.

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-lamp that 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.

Keywords : Wilson's disease; magnetic resonance imaging; "faces of panda" signs.

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