Unexplained neuropsychiatric symptoms in intensive care: A Fahr Syndrome case

Fahr Syndrome is a rare disease where calcium and other minerals are stored bilaterally and symmetrically in the basal ganglia, cerebellar dentate nucleus and white matter. Fahr Syndrome is associated with various metabolic disorders, mainly parathyroid disorders. The presented case discusses a 64-y...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2016-08, Vol.66 (8), p.1029-1031
Main Authors: Calili, Duygu Kayar, Mutlu, Nevzat Mehmet, Mutlu Titiz, Ayse Pinar, Akcaboy, Zeynep Nur, Aydin, Eda Macit, Turan, Isil Ozkocak
Format: Article
Language:English
Subjects:
Basal Ganglia Diseases - complications
Basal Ganglia Diseases - diagnosis
Basal Ganglia Diseases - diagnostic imaging
Calcinosis - complications
Calcinosis - diagnosis
Calcinosis - diagnostic imaging
Chorea - etiology
Deglutition Disorders - etiology
Dementia - etiology
Depression - etiology
Dysarthria - etiology
Humans
Hypoparathyroidism - complications
Intensive Care Units
Male
Middle Aged
Neurodegenerative Diseases - complications
Neurodegenerative Diseases - diagnosis
Neurodegenerative Diseases - diagnostic imaging
Parkinsonian Disorders - etiology
Pneumonia
Sepsis - complications
Tomography, X-Ray Computed
Tremor - etiology
Urinary Tract Infections - complications
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Summary:Fahr Syndrome is a rare disease where calcium and other minerals are stored bilaterally and symmetrically in the basal ganglia, cerebellar dentate nucleus and white matter. Fahr Syndrome is associated with various metabolic disorders, mainly parathyroid disorders. The presented case discusses a 64-year old male patient admitted to the intensive care unit of our hospital diagnosed with aspiration pneumonia and urosepsis. The cranial tomography examination to explain his nonspecific neurological symptoms showed bilateral calcifications in the temporal, parietal, frontal, occipital lobes, basal ganglia, cerebellar hemisphere and medulla oblongata posteriorly. His biochemical test results also indicated parathormone-calcium metabolic abnormalities. Fahr Syndrome must be considered for a definitive diagnosis in patients with nonspecific neuropsychiatric symptoms and accompanying calcium metabolism disorders in order to control serious morbidity and complications because of neurological damage.
ISSN:0030-9982