Fahr disease

Case contributed by Nick Tarasov
Diagnosis certain

Presentation

Seizures onset

Patient Data

Age: 50 years
Gender: Male
mri
This study is a stack
Axial
T2
This study is a stack
Sagittal
T1
This study is a stack
Axial
FLAIR
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

There is no mass, hematoma, or demyelination.

Diffuse periventricular white matter heterogenous T2 hyper signal.

There is excessive basal ganglia calcification with T2 blackout on ADC followed by subcortical white matter and dentate nuclei T2* susceptibility artifacts.

Case Discussion

There are classic findings consistent with Fahr disease, not syndrome since its the primary manifestation at age of 50 years in the absence of hyperparathyroidism.

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