Adult onset Niemann-Pick disease type C presenting with psychosis
Por um escritor misterioso
Descrição
Niemann-Pick disease type C (NPC) is an autosomal recessive neurometabolic disorder that rarely presents in adulthood, and is associated with cognitive decline, various movement disorders (ataxia, chorea, dystonia, and myoclonus), a vertical supranuclear gaze palsy (VSGP), and seizures. A recent case report demonstrated a delay in diagnosis of eight years when a patient with NPC presented with psychosis. This article reviewed all cases seen at the Mayo Clinic with a possible diagnosis of NPC between 1976 and 2000. Of the 52 possible cases, five had an established diagnosis of adult onset NPC. Of these, two presented with psychosis and were not diagnosed with NPC for 5 and 15 years, respectively. NPC may initially present in adulthood with psychosis, and when psychosis is associated with VSGP, various dyskinesias, and seizures, NPC should be suspected.
Two Patients with Niemann Pick Disease Type C Diagnosed in the Seventh Decade of Life - Wu - 2020 - Movement Disorders Clinical Practice - Wiley Online Library
Recommendations for the detection and diagnosis of Niemann-Pick disease type C
Niemann–Pick Disease Type C
Frontiers Adult-Onset Niemann–Pick Disease Type C: Rapid Treatment Initiation Advised but Early Diagnosis Remains Difficult
Recommendations for the detection and diagnosis of Niemann-Pick disease type C
Niemann-Pick disease type C as a neurovisceral disease. Schematic
A Rare Case of Late Adult-Onset Niemann-Pick Disease Type C
Consensus clinical management guidelines for Niemann-Pick disease type C. - Abstract - Europe PMC
Niemann–Pick Disease Type C
Frontiers Adult-Onset Niemann–Pick Disease Type C: Rapid Treatment Initiation Advised but Early Diagnosis Remains Difficult
Spectrum of Movement Disorders in Niemann-Pick Disease Type C - Tremor and Other Hyperkinetic Movements
Recommendations for the diagnosis and management of Niemann–Pick disease type C: An update - ScienceDirect
Recommendations for the detection and diagnosis of Niemann-Pick disease type C
Niemann-Pick Disease Type C in Adulthood – A Psychiatric and Neurological Disorder