Hepatolenticular degeneration with hidden pathology of liver: Case report

A case of hepatolenticular degeneration (HLD) in a 27-year-old patient is reported. The earliest signs of the disease were observed as isolated psychoneurological symptoms (mainly as polymorphic extrapyramidal and cerebellar disorders). Neither clinical, nor laboratory, nor sonographic signs of live...

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Main Authors: Nadezhda V. Vyalova, Denis S. Doloka, Tatyana N. Proskokova, Aleksandr M. Khelimskiy
Format: Article
Language:English
Published: Research Center of Neurology 2017-08-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/479/369
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author Nadezhda V. Vyalova
Denis S. Doloka
Tatyana N. Proskokova
Aleksandr M. Khelimskiy
author_facet Nadezhda V. Vyalova
Denis S. Doloka
Tatyana N. Proskokova
Aleksandr M. Khelimskiy
author_sort Nadezhda V. Vyalova
collection DOAJ
description A case of hepatolenticular degeneration (HLD) in a 27-year-old patient is reported. The earliest signs of the disease were observed as isolated psychoneurological symptoms (mainly as polymorphic extrapyramidal and cerebellar disorders). Neither clinical, nor laboratory, nor sonographic signs of liver pathology were detected. Liver pathology was revealed only during special examination by elastography. The diagnosis was verified by molecular genetic testing (detecting mutations in the АТР7В gene). Challenges of timely recognizing HLD and the modern potential of diagnosing the disease using the laboratory and instrumental techniques are discussed.
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spelling doaj.art-08b960c07e854174b32a56be71e193982022-12-22T00:23:25ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332017-08-01112727510.18454/ACEN.2017.2.10362Hepatolenticular degeneration with hidden pathology of liver: Case reportNadezhda V. Vyalova0Denis S. Doloka1Tatyana N. Proskokova2Aleksandr M. Khelimskiy3Far-Eastern State Medical University, Ministry of Health of the Russian FederationFar-Eastern State Medical University, Ministry of Health of the Russian FederationFar-Eastern State Medical University, Ministry of Health of the Russian FederationFar-Eastern State Medical University, Ministry of Health of the Russian FederationA case of hepatolenticular degeneration (HLD) in a 27-year-old patient is reported. The earliest signs of the disease were observed as isolated psychoneurological symptoms (mainly as polymorphic extrapyramidal and cerebellar disorders). Neither clinical, nor laboratory, nor sonographic signs of liver pathology were detected. Liver pathology was revealed only during special examination by elastography. The diagnosis was verified by molecular genetic testing (detecting mutations in the АТР7В gene). Challenges of timely recognizing HLD and the modern potential of diagnosing the disease using the laboratory and instrumental techniques are discussed.https://annaly-nevrologii.com/journal/pathID/article/viewFile/479/369hepatolenticular degenerationmovement disordersdiagnosis
spellingShingle Nadezhda V. Vyalova
Denis S. Doloka
Tatyana N. Proskokova
Aleksandr M. Khelimskiy
Hepatolenticular degeneration with hidden pathology of liver: Case report
Анналы клинической и экспериментальной неврологии
hepatolenticular degeneration
movement disorders
diagnosis
title Hepatolenticular degeneration with hidden pathology of liver: Case report
title_full Hepatolenticular degeneration with hidden pathology of liver: Case report
title_fullStr Hepatolenticular degeneration with hidden pathology of liver: Case report
title_full_unstemmed Hepatolenticular degeneration with hidden pathology of liver: Case report
title_short Hepatolenticular degeneration with hidden pathology of liver: Case report
title_sort hepatolenticular degeneration with hidden pathology of liver case report
topic hepatolenticular degeneration
movement disorders
diagnosis
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/479/369
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AT denissdoloka hepatolenticulardegenerationwithhiddenpathologyoflivercasereport
AT tatyananproskokova hepatolenticulardegenerationwithhiddenpathologyoflivercasereport
AT aleksandrmkhelimskiy hepatolenticulardegenerationwithhiddenpathologyoflivercasereport