%0 Case Reports %T First episode of psychosis in Kleefstra syndrome: a case report. %A De Taevernier C %A Meunier-Cussac S %A Madigand J %J Neurocase %V 27 %N 3 %D 06 2021 %M 34010111 %F 0.781 %R 10.1080/13554794.2021.1905851 %X Kleefstra syndrome (KS) is a genetic syndrome caused by a haploinsufficiency of the EHMT1 gene and characterized by intellectual disability, language disorders, childhood hypotonia and distinct facial features. Only a few cases of first episode of psychosis in KS have already been reported. We describe a young female patient with KS who presented a first episode of psychosis. In a context of an initial diagnosis wavering and a lack of recommendations, this clinical observation illustrates the importance of psychiatric comorbidities and their diagnostic and therapeutic complexity in KS; with a need for multidisciplinary management considering its specific aspects and vulnerabilities.