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2020, Number 1

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Rev Cubana Neurol Neurocir 2020; 10 (1)

Fahr syndrome due to secondary hypoparatiroidism

León CR, Real CRM, Domínguez GWH, Linares SEY, Durán TG, Gómez VN

Language: Spanish
References: 26
Page: 1-10
PDF size: 453.84 Kb.


ABSTRACT

Objective: To describe the etiological diagnosis process of Fahr syndrome in a patient with no family history of brain calcifications.
Clinical case report: We report a female patient who was admitted because of psychiatric disorders, seizures and involuntary movements. A computed tomography scan of the skull was performed, which showed thick and symmetrical calcifications in the basal ganglia, cerebellum, and white matter. Fahr syndrome was diagnosed from secondary hypoparathyroidism because of the injuries observed, the results of hormonal tests, and a history of thyroidectomy from several years. She was treated with calcium gluconate and phenytoin, and subsequently died of cardiogenic shock.
Conclusions: The analysis of the clinical characteristics, the neuroimaging findings, the laboratory tests, the pathological results and the surgical history, allowed the etiological diagnosis of Fahr syndrome in this patient.


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