Simone Olivia, Tortorella Cosimo, Antonaci Giovanni, Antonaci Salvatore
Dipartimento di Clinica Medica, Immunologia e Malattie Infettive, Sezione di Medicina Interna, Università, Policlinico, Bari.
Recenti Prog Med. 2008 Feb;99(2):93-6.
A 69-year-old male was admitted to our Division because of repeated episodes of transient loss of consciousness and minimal cognitive and behavioural disturbances. Brain CT showed Fahr-type bilateral calcifications. Laboratory findings showed a phospho-calcium metabolism disorder consistent with the diagnosis of pseudohypoparathyroidism, whose correction led to a significant clinical improvement. This is the first case of Fahr's syndrome associated with syncope-type episodes. This observation suggests that a brain CT, as well as the search for a dysparathyroidism condition, should always carried out in all patients with unexplained recurrent episodes of loss of consciousness.
一名69岁男性因反复出现短暂意识丧失以及轻微认知和行为障碍而入住我科。脑部CT显示为法尔氏型双侧钙化。实验室检查结果显示存在磷钙代谢紊乱，符合假性甲状旁腺功能减退的诊断，纠正该紊乱后临床症状显著改善。这是首例与晕厥型发作相关的法尔氏综合征病例。该观察结果表明，对于所有不明原因反复出现意识丧失发作的患者，均应进行脑部CT检查以及排查甲状旁腺功能异常情况。
