scholarly journals Fahr’s disease presenting with thalamic hemorrhage: a case report

2019 ◽  
Author(s):  
Guotao Wang ◽  
Zhinan Ye ◽  
Jian Cheng ◽  
Guohua Ma

Abstract Background: Fahr’s disease is a rare neurological disorder which is characterized by diffuse intracranial calcification documented in bilateral basal ganglia and dentate nuclei of the cerebellum. In recent years, some acute presentations of Fahr’s disease have been reported. Here we describe a Fahr’s disease patient presenting with thalamic hemorrhage, which has not been reported so far. Case presentation: A 51-year-old man doesn’t have any prior premonitory symptoms and significant family history of neurologic disorder, he presented to our emergency department because of acute left limb numbness. Both brain CT and MRI study exhibited symmetric calcifications in bilateral basal ganglia and bilateral cerebellar dentate nuclei, which was consistent with Fahr’s disease. In addition, the blood investigation provided no criteria to secondary intracranial calcification. After proper clinical medical treatment and sustained physical rehabilitation, the patient’s symptoms relieved and he was discharged from hospital. Conclusion: We describe a case of sporadic Fahr’s disease presenting with thalamic hemorrhage. It is unknown whether the calcification in Fahr’s disease negatively affects intracranial vessels predisposing acute presentation. Therefore, the association between idiopathic basal ganglia calcification and acute cerebrovascular disease is worth special attention and needs further studies. Keywords: Fahr’s disease, thalamic hemorrhage.

2021 ◽  
Vol 48 (1) ◽  
pp. 46-49
Author(s):  
Clifford O. Okike ◽  
Obinna C. Ajaegbu ◽  
Lazerus Origbo ◽  
Uzoamaka V. Muoneke

Fahr’s disease is a rare neurodegenerative disorder characterized by deposition of calcium on the walls of blood vessels of the Basal ganglia and Dentate nuclei of the Cerebellum. Patient can present with diverse array of symptoms including but not limited to seizure, extrapyramidal symptoms and mental retardation. We report a case of a 9-year-old female child with history of recurrent seizure. Brain CT showed symmetrical calcification in the basal ganglia.


2021 ◽  
Author(s):  
Pu Tian ◽  
Hongbo Zhang ◽  
Yaqian Liang ◽  
Bingyang Bian ◽  
Shujia Xu ◽  
...  

Abstract Background: Among intracranial germinomas, germinoma of basal ganglia has been rarely reported. We discuss a new case of basal ganglia germinoma(BGG) and perform the literature review over the last two decades, with the aim of emphasizing the diagnosis and treatment in early-stage BGG.Case presentation: A seven years old Chinese boy presented with 4 months history of left limb movement disorder and oblique right mouth corner. The human chorionic gonadotropin(HCG) level in cerebrospinal fluid(CSF) was slightly increased. Magnetic resonance imaging(MRI) showed ipsilateral brain and brainstem atrophy. Susceptibility weighted imaging(SWI) revealed obvious hypointensity in right globus pallidus. Pathological diagnosis on biopsy was confirmed with germinoma. The patient had a favorable relief of symptoms after chemoradiotherapy.Conclusion: Intracranial germinoma, a potentially curable tumor, the early diagnosis is essential for the prognosis. An elevated HCG level of CSF or serum can be used as a reference indicator. MRI, especially SWI, plays an important role in early diagnosis. Patients should be treated with standardized chemoradiotherapy early rather than surgery.


2012 ◽  
Vol 10 (2) ◽  
pp. 155-156
Author(s):  
K Ahmad ◽  
K Dhungel ◽  
P Sah ◽  
S Ansari ◽  
Dr. Shashikar

Fahr's disease is a rare neurodegenerative disorder that is characterized by the bilateral symmetrical deposition of calcium in the basal ganglia, thalamus, dentate nuclei and centrum semiovale in the absence of hypoparathyroidism. It is often familial. Hereby, we are reporting a rare case of Fahr's disease who presented with repeated episodes of seizures and was diagnosed as Fahr's disease after performing computed tomographic (CT) scan.DOI: http://dx.doi.org/10.3126/hren.v10i2.6589 Health Renaissance 2012; Vol 10 (No.2); 155-156  


2021 ◽  
Vol 16 (10) ◽  
pp. 3055-3059
Author(s):  
Adele DURANTE ◽  
Nunzia AUDINO ◽  
Mariarita CRISTIANO ◽  
Michela TANGA ◽  
Maria Teresa MARTINO ◽  
...  

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