Computed tomographic image of Fahr disease mistaken for acute hemorrhagic cerebrovascular accident

Goodwin, Robert H.

doi:10.1016/j.ajem.2005.10.015

Cited by 5 publications

(5 citation statements)

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“…4,8 It was reported in the literature that in Fahr's disease, there were symmetrical and extensive calcifications in the white matter of the cerebral or cerebellar hemispheres and basal ganglia. 4,[8][9][10] As in the present case, the cranial CT findings were typical and consistent with those of FD. Clinical presentations may be quite variable.…”

Section: Discussionsupporting

confidence: 86%

“…In suspected cases of FD, other causes of intracranial calcification should be considered such as cerebrovascular lesions, infectious diseases like toxoplasmosis, syphilis and inflammatory illnesses such as systemic lupus erythematosus. 3,10 There is no satisfactory cure for FD or standard course of treatment. Treatment addresses symptoms on an individual basis.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Fahr'S Disease Presenting as Epileptic Seizure in the Emergency Department

Söğüt¹,

Kaya²,

Gokdemir

et al. 2010

Hong Kong j. emerg. med.

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Fahr's disease (striato-pallido-dentate calcifications) is a rare neurodegenerative disorder characterised by bihemispherical and symmetrical calcium deposits in certain areas of the brain, particularly in the basal ganglia. We report an unusual case of Fahr's disease in a 36-year-old man who presented with generalised seizure in our emergency department. Basing on clinical, radiological, and endocrinological aspects, the patient was diagnosed as Fahr's disease associated with hypoparathyroidism. Administration of parenteral calcium and calcitriol supplementation were started in the emergency department. The clinical outcome was favourable after the treatment. The case illustrates that Fahr's disease, though rarely seen, has to be considered in a patient with convulsive state associated with calcifications of the basal ganglia. Systematically searching for dysparathyroidism in such patients is extremely important. (Hong Kong j.emerg.med. 2010;17:262-264) 36

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

A Rare Case of Fahr'S Disease Presenting as Epileptic Seizure in the Emergency Department

Söğüt¹,

Kaya²,

Gokdemir

et al. 2010

Hong Kong j. emerg. med.

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“…An important part of these calcifications is accidentally recognized in computerized cranial tomography (CT) which is performed due to other causes. Among the radiological methods, as CT is more sensitive for calcifications, it is more valuable in diagnosis of IBGC when compared with magnetic resonance imaging (MR) [10]. In the presence of neuropsychiatric findings together with calcification in imaging methods as a supportive finding, idiopathic basal ganglia calcification should be considered in differential diagnosis if there is no other disease causing this clinical picture, because IBGC is an exclusion diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Basal Ganglia Calcification Presented with Impulse Control Disorder

Şahin

Levent

Akbaba

et al. 2015

Case Reports in Endocrinology

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Primary familial brain calcification (PFBC), also referred to as Idiopathic Basal Ganglia Calcification (IBGC) or “Fahr's disease,” is a clinical condition characterized by symmetric and bilateral calcification of globus pallidus and also basal ganglions, cerebellar nuclei, and other deep cortical structures. It could be accompanied by parathyroid disorder and other metabolic disturbances. The clinical features are dysfunction of the calcified anatomic localization. IBGC most commonly presents with mental damage, convulsion, parkinson-like clinical picture, and neuropsychiatric behavior disorders; however, presentation with impulse control disorder is not a frequent presentation. In the current report, a 43-year-old male patient who has been admitted to psychiatry policlinic with the complaints of aggressive behavior episodes and who has been diagnosed with impulse control disorder and IBGC was evaluated in the light of the literature.

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“…Hastalardaki nöro-psikiyatrik semptomların nedeni araştırılırken ya da başka bir sebeple elde edilen radyolojik görüntülerde serebral ve/veya serebellar simetrik kalsifikasyonların görülmesi ile tanınır. Şiddetli kalsifikasyonlar direkt röntgenogramlarda izlenebilmekle beraber, erken tanı ve küçük kalsifikasyonların gösterilmesinde BBT en duyarlı radyolojik metoddur (19). FH için tipik olan radyolojik bulgulara göre; kalsifikasyonun yaygın olması ve bazal ganglion, talamus, caudat, lentiform ve dentat nukleusta simetrik tutulum şeklinde oldukça tipik dağılım göstermesi gereklidir.…”

Section: Bulgularunclassified

Endokri̇noloji̇ Prati̇ği̇nde Serebral Kalsi̇fi̇kasyon / Cerebral Calcification in General Endocrine Practice

Cansu¹,

Taskiran²,

Bahadir³

2016

Osmangazi̇ Journal of Medicine

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Bazal ganglion kalsifikasyonu bilgisayarlı beyin tomografisinde sıklıkla rastlanan bir durum olup birçok etiyolojik nedeni vardır. İdyopatik olanları Fahr hastalığı olarak bilinir. Paratiroid hastalıkları, sekonder nedenlerin başını çeker. Bu retrospektif çalışmada bilateral bazal ganglion kalsifikasyonu saptanan hastalarda paratiroid hastalıkları değerlendirilmiştir. Ocak 2013-Nisan 2016 tarihleri arasında Endokrinoloji ve Metabolizma Hastalıkları polikliniğine serebral kalsifikasyon nedeni ile başvurup endokrinolojik hastalıklar açısından tetkik edilmiş hastalar geriye dönük olarak taranmıştır. Hastaların klinik, laboratuvar ve radyolojik görüntüleme sonuçları dosyalarından ve elektronik kayıt sisteminden elde edilmiştir. Çalışmaya toplam 14 hasta alınmıştır. Bu hastalardan çalışmaya alınma kriterlerine uyan 6 hastanın 3'ünde etyolojik neden saptanmazken (idyopatik), 3'ünde tiroid cerrahisine sekonder gelişen iyatrojenik hipoparatiroidizm saptandı. Tipik radyolojik görünümü olmayan hastalarda D vitamini eksikliği ve buna bağlı sekonder hiperparatiroidizm dışında ek bulgu saptanmadı. Bilateral bazal ganglion kalsifikasyonlarının idyopatik olanları dışında, kalsifikasyona neden olan durumlar içerisinde paratiroid hastalıklarının (idyopatik ya da iyatrojenik hipoparatiroidizm) önemli bir yer tuttuğu bilinmeli ve hastalar mutlaka endokrinolojik açıdan değerlendirilmelidir.

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Computed tomographic image of Fahr disease mistaken for acute hemorrhagic cerebrovascular accident

Cited by 5 publications

References 0 publications

A Rare Case of Fahr'S Disease Presenting as Epileptic Seizure in the Emergency Department

A Rare Case of Fahr'S Disease Presenting as Epileptic Seizure in the Emergency Department

Idiopathic Basal Ganglia Calcification Presented with Impulse Control Disorder

Endokri̇noloji̇ Prati̇ği̇nde Serebral Kalsi̇fi̇kasyon / Cerebral Calcification in General Endocrine Practice

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