Shoib Sheikh, Maqbool Dar Mohammad, Arif Tasleem, Bashir Haamid, Ahmed Javid
Department of Psychiatry, GMC Srinagar.
Department of Dermatology, STD and Leprosy, GMC Srinagar.
Iran J Psychiatry Behav Sci. 2012 Fall;6(2):102-4.
Fahr's disease is a rare syndrome characterized by symmetrical and bilateral intracranial calcifications. We report a 21-year-old male who presented with aggression, talkativeness, restlessness, and insomnia of recent onset. His neurological examination was normal. Mental status examination and clinical investigation revealed mania. Brain revealed symmetrical large areas and foci of calcification in bilateral basal ganglia and subcortical regions of cerebral hemispheres. This is the first reported case of mania associated with Fahr's disease in a Kashmiri patient. The description highlights the importance of considering organic causes when encountering patients with mania. The patient was put on mood stabilizers and his abnormal behaviors improved within 4 weeks.
法尔病是一种罕见的综合征,其特征为双侧对称性颅内钙化。我们报告一名21岁男性,近期出现攻击行为、多话、烦躁不安及失眠症状。其神经系统检查正常。精神状态检查和临床调查显示为躁狂症。脑部检查发现双侧基底神经节及大脑半球皮质下区域有对称性大片钙化区及钙化灶。这是首例克什米尔患者中与法尔病相关的躁狂症报告病例。该病例描述凸显了在遇到躁狂症患者时考虑器质性病因的重要性。患者服用了情绪稳定剂,其异常行为在4周内得到改善。