Reshma P Varghese, Dr. Jincy Jesus, Dr. Alsa Mariyam Thomas and Dr. Jophine John
Background: Fahr’s disease is a rare neurological disorder characterized by abnormal deposition of calcium in brain. Etiology of Fahr’s disease does not identify but most common of which are endocrine disorders, mitochondrial myopathy, dermatological disorders and infectious diseases. Management strategies and treatment of Fahr’s disease mainly focus on symptomatic relief.
Case Presentation: A 49 year old female patient was admitted with complaints of vertiginous sensation followed by fall and altered level of consciousness. She had a medical history of thyroid carcinoma followed by s/p of 26 years back thyroidectomy. The laboratory investigations revealed elevated phosphorus and decreased calcium and Parathyroid hormone level. The CT scan revealed symmetrical hyperdense areas of calcification –that suggestive of Fahr’s disease.
Conclusion: Fahr’s disease is an uncommon neurodegenerative disorder characterized by idiopathic bilateral deposits of calcium in the striopallidodentate area, basal ganglia, thalamus, cerebral cortex, cerebellum and hippocampus.
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