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法尔综合征——一例有趣的病例报告。

Fahr's Syndrome- An Interesting Case Presentation.

作者信息

Asokan Athulya Geetha, D'souza Sydney, Jeganathan Jayakumar, Pai Shivananda

机构信息

Head & Professor, Department of Internal Medicine.

出版信息

J Clin Diagn Res. 2013 Mar;7(3):532-3. doi: 10.7860/JCDR/2013/4946.2814. Epub 2013 Mar 1.

DOI:10.7860/JCDR/2013/4946.2814
PMID:23634413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3616573/
Abstract

Fahr's syndrome refers to a rare syndrome which is characterized by symmetrical and bilateral intracranial calcification. We are presenting a 63 year old male, who complained of progressive dysarthria of 6 months, which was associated with slowness of movements. His neurological examination revealed Parkinsonian features. His CT scan revealed a symmetrical large area of calcification over the basal ganglia, the thalamus and the cerebellum. The secondary causes of the bilateral calcification were ruled out to make the clinical diagnosis of Idiopathic Bilateral Striopallidodentate Calcinosis, which is otherwise called as the Fahr's syndrome. Deposits of calcium and minerals cannot be linked to a single chromosomal locus and further genetic studies are in progress for identifying the chromosomal locus of the disease.

摘要

法尔氏综合征是一种罕见的综合征,其特征为对称性双侧颅内钙化。我们报告一名63岁男性,他主诉进行性构音障碍6个月,伴有运动迟缓。神经系统检查显示有帕金森氏症特征。他的CT扫描显示基底神经节、丘脑和小脑有对称的大面积钙化。排除了双侧钙化的继发原因后,做出了特发性双侧纹状体苍白球齿状核钙化症的临床诊断,该病症也被称为法尔氏综合征。钙和矿物质的沉积与单一染色体位点无关,目前正在进行进一步的基因研究以确定该疾病的染色体位点。

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本文引用的文献

1
Familial Fahr disease in a Turkish family.一个土耳其家庭中的家族性法尔病。
South Med J. 2009 Jan;102(1):85-6. doi: 10.1097/SMJ.0b013e3181833f02.
2
Fahr's disease: a differential diagnosis of frontal lobe syndrome.法尔病:额叶综合征的鉴别诊断
Hong Kong Med J. 2007 Feb;13(1):75-7.
3
What is and what is not 'Fahr's disease'.何为“法尔病”以及何为非“法尔病”。
Parkinsonism Relat Disord. 2005 Mar;11(2):73-80. doi: 10.1016/j.parkreldis.2004.12.001.
4
Subacute dementia and imaging correlates in a case of Fahr's disease.法尔氏病病例中的亚急性痴呆与影像学相关性
J Neurol Neurosurg Psychiatry. 2004 Aug;75(8):1163-5. doi: 10.1136/jnnp.2003.019547.
5
Bilateral striopallidodentate calcinosis: clinical characteristics of patients seen in a registry.双侧纹状体苍白球齿状核钙化:登记在册患者的临床特征
Mov Disord. 2001 Mar;16(2):258-64. doi: 10.1002/mds.1049.
6
Identification of a locus on chromosome 14q for idiopathic basal ganglia calcification (Fahr disease).14号染色体长臂上特发性基底节钙化(法尔病)相关基因座的鉴定。
Am J Hum Genet. 1999 Sep;65(3):764-72. doi: 10.1086/302558.
7
Encephalopathy with calcifications of the basal ganglia in children. A reappraisal of Fahr's syndrome with respect to 14 new cases.儿童基底节钙化性脑病。对14例新病例重新评估法尔综合征。
Neuropediatrics. 1989 Feb;20(1):12-9. doi: 10.1055/s-2008-1071258.