Presentation
Confusion and visual disturbances.
Patient Data
Age: 75 years
Gender: Female
From the case:
Fahr syndrome with cortical laminar necrosis
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Bilateral calcifications of the basal ganglia, subcortical white matter, and cerebellar dentate nuclei are noted with associated gyriform hyperdensities in the occipital lobes suggestive of cortical laminar necrosis.
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green arrow: bilateral basal ganglia calcification
orange arrow: occipital cortical hyperdensity
blue arrow: cerebellar dentate nuclei calcification
Case Discussion
Fahr disease is characterized by bilateral and symmetric calcifications in special sites like the basal ganglia, dentate nuclei, thalami, and the subcortical white matter as a result of abnormal vascular calcium deposition.
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