Fahr disease

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Tremors, imbalance, dementia.

Patient Data

Age: 55 years
Gender: Female
CT

CT brain

There is symmetric bilateral calcifications of caudate, lentiform nucleui (corpus striatum) as well as dentate nuclei in cerebellum compatible with Fahr's disease (familial cerebral ferrocalcinosis). There is no involvement of both thalami and subcortical white matter.

 

Case Discussion

The differential of basal ganglia calcification is relatively long and includes a number of broad categories such as metabolic, ischaemic/toxic and infective etiologies. Fahr's disease is usually initially asymptomatic in most patients. However, various neurological symptoms may develop later in life, such as psychosis, dementia & movement disorders (parkinsonism).

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Case information

rID: 51938
Case created: 14th Mar 2017
Last edited: 20th Mar 2017
Inclusion in quiz mode: Included

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