Known paranoid schizophrenia, worsening symptoms over months. Admitted due to persistent delusions, low mood and cognitive impairment. No known significant family history.
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Coarse bilateral calcifications in region of globus pallidus.
No calcifications in cerebellum or cortex.
No acute intracranial abnormalities.
3 case questions available
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.