Fahr disease

Case contributed by Dr Derek Smith

Presentation

Known paranoid schizophrenia, worsening symptoms over months. Admitted due to persistent delusions, low mood and cognitive impairment. No known significant family history.

Patient Data

Age: 50
Gender: Male
Modality: CT

Coarse bilateral calcifications in region of globus pallidus.

No calcifications in cerebellum or cortex.

No acute intracranial abnormalities.

Case Discussion

Although basal ganglia (and specifically globus pallidus) calcification is a relatively common finding, given this patient's psychiatric background and subtle neurological findings (choreic gait) it was felt that Fahr syndrome was a likely diagnosis.

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Case Information

rID: 37675
Case created: 17th Jun 2015
Last edited: 30th Jan 2016
Inclusion in quiz mode: Included

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