Naqvi Syeda, Arshad Samiullah, Hanif Rida, Elfert Khaled Abdelmaqsoud Hamed
Jinnah Postgraduate Medical Centre, Jinnah Sindh Medical University (SMC).
Internal Medicine, Combined Military Hospital Lahore, Pakistan.
Cureus. 2017 Mar 2;9(3):e1071. doi: 10.7759/cureus.1071.
Fahr's syndrome is a rare disease entity which presents with multiple neurological symptoms like movement disorder or cognitive impairment. We describe a case of a young male patient who presented with symptoms mimicking schizophrenia. He failed to improve despite medical management. He developed an episode of seizure which prompted us to make a computed tomography (CT) scan of the brain, revealing bilateral calcification of basal ganglia, despite normal serum calcium and parathyroid hormone (PTH) levels. This case experience explains the need to rule out all pathological causes of hallucinations before making a diagnosis of schizophrenia.
法尔氏综合征是一种罕见的疾病实体,表现为多种神经症状,如运动障碍或认知障碍。我们描述了一例年轻男性患者,其症状类似精神分裂症。尽管进行了药物治疗,但他的病情并未改善。他出现了一次癫痫发作,这促使我们对其进行脑部计算机断层扫描(CT),结果显示基底节双侧钙化,尽管血清钙和甲状旁腺激素(PTH)水平正常。该病例经验说明在诊断精神分裂症之前需要排除所有幻觉的病理原因。