A Case Report of a Patient of Basal Ganglia Calcification Suggestive of Fahr’s Disease Treated with Korean Medicinal Treatment

Fahr’s disease (FD) is characterized by sporadic or familiar idiopathic calcification of the basal ganglia, dentate nuclei of the cerebellum, and centrum semiovale, mainly presenting with movement disorder, dementia, and behavioral abnormalities. We described a rare case of Fahr’s disease presenting at onset only with behavioral and neuropsychological alterations, whose diagnosis was supposed only after a brain CT, which showed extensive bilateral calcifications in the dentate nuclei of the cerebellum and basal ganglia. Since the onset of Fahr’s disease may be a dysexecutive syndrome with behavioral abnormalities, the clinical and radiological features are really important to do the appropriate diagnosis.

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Fahr's Disease Presenting with Aneurysmal Subarachnoid Hemorrhage

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.96542 ◽

2012 ◽

Vol 2 ◽

pp. 27 ◽

Cited By ~ 6

Author(s):

Hosam Al-Jehani ◽

Abdulrazag Ajlan ◽

David Sinclair

Keyword(s):

Subarachnoid Hemorrhage ◽

Basal Ganglia ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Rare Disorder ◽

Basal Ganglia Calcification ◽

Fahr’S Disease ◽

Acute Presentation ◽

Fahr's Disease ◽

Idiopathic Basal Ganglia Calcification ◽

The Brain

Fahr's disease is a rare disorder of slowly progressive cognitive, psychiatric, and motor decline associated with idiopathic basal ganglia calcification (IBGC) and widespread calcification in the brain and cerebellum. Acute presentation of IBGC is most often as a seizure disorder; however, we present a case of an acute IBCG presentation in which the cause of the deterioration was an aneurysmal subarachnoid hemorrhage.

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A rare consortium of functional neurological disorder and Fahr’s disease - a herald of extensive calcification

Asian Journal of Medical Sciences ◽

10.3126/ajms.v11i6.30632 ◽

2020 ◽

Vol 11 (6) ◽

pp. 138-141

Author(s):

Alka Chauhan ◽

Sunny Garg

Keyword(s):

Basal Ganglia ◽

Neurological Disorder ◽

Neuropsychiatric Symptoms ◽

Cerebral Microvessels ◽

Basal Ganglia Calcification ◽

Fahr’S Disease ◽

Normal Limits ◽

Fahr's Disease ◽

Neuropsychiatric Manifestations ◽

Functional Neurological Disorder

Fahr’s disease is also known as familial idiopathic basal ganglia calcification affecting the cerebral microvessels and presenting with numerous neuropsychiatric manifestations. Functional neurological disorder (FND), a pure neuropsychiatric phenomenon occurs rarely in Fahr’s disease. Herein, we have presented a case of 17 year old female presenting neuropsychiatric symptoms like pseudoseizure, left sensorineural deficit and mild headache for last 4 months. Mental status examination revealed impaired attention and concentration. Laboratory examinations were within normal limits except CT scan and MRI Brain which revealed bilateral and symmetrical basal ganglia calcification. This is a rare case of FND associated with Fahr’s Disease, never reported in the literature. This case highlights the need for evaluating the biological factors in causation of FND where psychological factors were not assessed.

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