Levina N, Maes F, Sabbe B G C
Tijdschr Psychiatr. 2019;61(1):48-52.
Idiopathic basal ganglia calcification is a rare neuropathological syndrome characterised by symmetrical and bilateral calcifications found primarily in the basal ganglia. Psychosis is describedas an acute presentation of idiopathic ganglia calcification. We describe the development of psychosis in a 48-year-old man, initially hospitalised on the neurology ward due to syncope. A ct scan of the brain showed bilateral, symmetrical calcification of the basal ganglia and nucleus dentatus. Laboratory research excluded other pathological disorders. The patient was referred to a psychiatric ward, where the administration of risperidone led to alleviation of his mental state. This case report underlines the importance of an accurate, comprehensive differential diagnosis and the associated significance of neuroimaging.
特发性基底节钙化是一种罕见的神经病理综合征,其特征为主要在基底节发现的对称性双侧钙化。精神病被描述为特发性基底节钙化的急性表现。我们描述了一名48岁男性精神病的发展情况,该患者最初因晕厥入住神经内科病房。脑部CT扫描显示基底节和齿状核双侧对称钙化。实验室检查排除了其他病理疾病。该患者被转诊至精神科病房,在那里使用利培酮治疗后其精神状态得到缓解。本病例报告强调了准确、全面的鉴别诊断的重要性以及神经影像学的相关意义。