Bipolar affective disorder in a patient with Fahr’s disease: The first recorded case in Bhutan

Abstract

Fahr’s disease is a rare neurological disease that typically presents with neurological manifestations such as movement disorders. In a first recorded patient with Fahr’s disease in Bhutan, psychiatric diagnosis of bipolar affective disorder with current episode of severe depression was made, which is also a known manifestation of Fahr’s disease. Diagnosing a first case of Fahr’s disease is important for Bhutan because, though, it is a rare disease and it emphasizes the importance of recognizing other rare causes of psychiatric illness to tailor the treatment to the individual.

Idiopathic young-onset Fahr’s disease with schizophrenia-like presentation: a case report

“…Other case reports on adults and older adults, various medications have been suggested, including antipsychotics such as Haloperidol 10mg/day ( 4 , 13 ), Risperidone 1–4mg/day ( 4 , 6 , 7 , 14 , 15 ), Olanzapine 5mg/day ( 6 , 14 ), Amisulpride 100–200mg/day ( 7 , 16 ), Aripiprazole 10mg/day ( 8 , 17 ), Quetiapine 25–75mg/day ( 8 , 18 ), and Clozapine ( 13 , 19 ). Mood stabilizers such as Lithium 900mg/day ( 4 , 12 ), Valproic acid 600–1000mg/day ( 7 , 14 , 20 ), and Oxcarbazepine 300–600mg/day ( 8 , 15 ) have also been suggested. Dopamine and a dopamine receptor agonist may relieve the extra-pyramidal symptoms of Fahr’s Disease ( 21 ).…”