Fahr’s Disease with Secondary Hyperparathyroidism
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2019, Vol 2, Issue 2
Abstract
Fahr’s syndrome refers to a rare syndrome which is characterized by symmetrical and bilateral intracranial calcification.1,2 Here we present a case of a 48 year old male patient , who presented to our outpatient clinic with history of tenderness in the right hip since 3 days following accidental fall at home and history of recurrent falls, walking like a drunken person ,inappropriate laughter and crying, difficulty in speaking and dystonic posturing , dificulty in eating and deglutition since 02 years .NCCT Head revealed bilateral, symmetrical, large areas of calcification over the basal ganglia, the thalamus, the cerebellum , the pons and the occipital lobe and the diagnosis of Fahr’s diseasewas done and other secondary causes of calcification were ruled out . Laboratory investigations revealed vitamin D insufficiency and secondary hyperparathyroidism leading to susceptibility for bone fractures.Thus, Fahr’s diseasepatient is a highly susceptible patient, which requires a multidisciplinary approach in order to prevent postural instability and nutritional insufficiencies, thus reducing the risk of complications like fractures.
Authors and Affiliations
Rahul Chandel
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