Department of Neurology, Nepal Mediciti Hospital, Bhaisepati, Lalitpur, Nepal.
Kathmandu Univ Med J (KUMJ). 2023 Jul-Sep;21(83):337-339.
Fahr's disease is characterized by idiopathic bilateral deposition of calcium in the striopallidodentate area. We are presenting 83-year-old female, who failed responding while having lunch around 10 AM soon after she lost consciousness for an hour. It was associated with difficulty in walking, mood disturbances, fatigability, blurring of vision and occasional dizziness since past 4 months. Her neurological examination revealed Parkinsonian features. Her computed tomography of head report showed bilateral, symmetrical, large area of calcification over the basal ganglia, the thalamus and the cerebellum. To rule out the seizure disorder we have done an electroencephalogram and some laboratory test including calcium, Phosphorus, Parathyroid hormone and magnesium, vitamin D which were suggestive of Fahr's disease.
Fahr 病的特征是纹状体苍白球齿状核区域的特发性双侧钙沉积。我们现在介绍一位 83 岁女性患者,她在上午 10 点左右吃午饭时突然失去意识,大约 1 小时后无法回应。在此之前,她已经出现了 4 个月的行走困难、情绪波动、易疲劳、视力模糊和偶尔头晕等症状。她的神经系统检查显示出帕金森病的特征。头部 CT 报告显示双侧对称的基底节、丘脑和小脑的大面积钙化。为了排除癫痫,我们做了脑电图和一些实验室检查,包括钙、磷、甲状旁腺激素和镁、维生素 D,这些检查提示 Fahr 病。