肝豆状核变性所致精神障碍违法犯罪1例  

A case report of criminal offense caused by a male patient with mental disorder due to Wilson's disease

作　　者：陈琛 李雯 CHEN Chen;LI Wen(Shanghai Key Laboratory of Forensic Medicine,Key Laboratory of Forensic Science,Ministry of Justice,China,Shanghai Forensic Service Platform,Academy of Forensic Science,Shanghai 200063,China)

机构地区：[1]司法鉴定科学研究院,上海市法医学重点实验室,司法部司法鉴定重点实验室,上海市司法鉴定专业技术服务平台,200063

出　　处：《临床精神医学杂志》2023年第3期232-234,共3页Journal of Clinical Psychiatry

基　　金：上海市“科技创新行动计划”社会发展科技攻关资助项目(20DZ1200300);上海市法医学重点实验室资助项目(21DZ2270800);上海市司法鉴定专业技术服务平台资助项目(19DZ2292700);2022年度中央级公益性科研院所资助项目(GY2022Z-2)。

摘　　要：以精神症状为首发症状肝豆状核变性(Wilson's disease,WD)通常存在症状不典型、诊疗不及时、容易误诊等情况,该病患者因违反法律法规时通常会因其有精神障碍而需要对其进行法医精神病鉴定。本文报道1例WD患者因偷窥女性涉案进行受处罚能力鉴定的案例,借此探讨司法精神病鉴定中器质性精神障碍有关鉴定所面临的困境。Wilson's disease(WD)onset with psychiatric symptoms is often featured by atypical psychiatric symptoms,which may lead to delayed diagnosis and treatment and an increased rate of misdiagnosis.When patients with WD violate laws and regulations,they usually need to be forensically evaluated because of their psychiatric symptoms.This paper reports a case of WD who was punished for snooping on a female and discusses the difficulties on evaluating organic mental disorders during the forensic psychiatric evaluation.

关 键 词：肝豆状核变性 精神障碍 违法犯罪 法医精神病鉴定 

分 类 号：R749[医药卫生—神经病学与精神病学]