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儿童法尔综合征的发现:一例与先天性甲状旁腺功能减退相关的病例

Unveiling Fahr's Syndrome in a Child: A Case Linked to Congenital Hypoparathyroidism.

作者信息

Kassal Ghizlane, Elqadiri Rabiy, Mghar Soumia, Nassih Houda, Abourrahouat Aicha, Ouassil Sara, Aitsab Imane

机构信息

Mother and Child Department, General Pediatrics, University Hospital Center, Mohammed VI, Marrakech, MAR.

Radiology Department, University Hospital Center, Mohammed VI, Marrakech, MAR.

出版信息

Cureus. 2025 May 13;17(5):e84001. doi: 10.7759/cureus.84001. eCollection 2025 May.

DOI:10.7759/cureus.84001
PMID:40510075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12159691/
Abstract

Fahr's syndrome is a rare neurological disorder marked by unusual calcium deposits in specific brain regions. Its occurrence is linked to various underlying causes, including hormonal imbalances, genetic predispositions, infections affecting the central nervous system, and exposure to certain toxic substances. We describe a pediatric case of Fahr's syndrome linked to hypoparathyroidism, presenting with seizures and developmental delays. Suspicion of this diagnosis was raised due to anamnestic, clinical, and laboratory findings and confirmed after the cerebral computed tomography (CT) scan showed brain calcifications. Emphasizing the necessity of early identification, this case underscores the value of clinical and biological markers in guiding diagnosis. Additionally, it highlights the essential role of imaging techniques in confirming the presence of brain calcifications and aiding effective management.

摘要

Fahr综合征是一种罕见的神经系统疾病,其特征是特定脑区出现异常钙沉积。其发生与多种潜在原因有关,包括激素失衡、遗传易感性、影响中枢神经系统的感染以及接触某些有毒物质。我们描述了一例与甲状旁腺功能减退相关的小儿Fahr综合征病例,表现为癫痫发作和发育迟缓。根据病史、临床和实验室检查结果怀疑该诊断,并在脑部计算机断层扫描(CT)显示脑钙化后得到证实。该病例强调了早期识别的必要性,突显了临床和生物学标志物在指导诊断中的价值。此外,它还突出了成像技术在确认脑钙化存在及辅助有效管理方面的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d7/12159691/d71fe6a464f2/cureus-0017-00000084001-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d7/12159691/5bf4bd431dc4/cureus-0017-00000084001-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d7/12159691/d71fe6a464f2/cureus-0017-00000084001-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d7/12159691/5bf4bd431dc4/cureus-0017-00000084001-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d7/12159691/d71fe6a464f2/cureus-0017-00000084001-i02.jpg

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本文引用的文献

1
Effect of calcitriol and calcium on basal ganglia calcification in hypoparathyroidism: experimental models.骨化三醇和钙对甲状旁腺功能减退症基底节钙化的影响:实验模型
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Parathyroid Disorders.甲状旁腺疾病。
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Computed tomography anomalies associated with isolated hypoparathyroidism.与孤立性甲状旁腺功能减退相关的计算机断层扫描异常。
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Epileptic seizure, as the first symptom of hypoparathyroidism in children, does not require antiepileptic drugs.癫痫发作作为儿童甲状旁腺功能减退症的首发症状,不需要使用抗癫痫药物。
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Fahr's Disease or Fahr's Syndrome?法尔氏病还是法尔氏综合征?
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Bilateral strio-pallido-dentate calcinosis (Fahr's disease): report of seven cases and revision of literature.双侧纹状体-苍白球-齿状核钙化(法尔病):7例报告及文献复习
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Extensive bilateral striopallidodentate calcinosis: a 50 years history of hypoparathyroidism presenting like a parkinsonian syndrome.广泛双侧纹状体苍白球齿状核钙化:一例有50年甲状旁腺功能减退病史且表现为帕金森综合征的病例
J Neurol. 2016 Sep;263(9):1876-9. doi: 10.1007/s00415-016-8243-8. Epub 2016 Aug 2.
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Presentation of Hypoparathyroidism: Etiologies and Clinical Features.甲状旁腺功能减退症的表现:病因和临床特征。
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10
Seizures in patients with idiopathic hypoparathyroidism: effect of antiepileptic drug withdrawal on recurrence of seizures and serum calcium control.特发性甲状旁腺功能减退症患者的癫痫发作:停用抗癫痫药物对癫痫复发及血清钙控制的影响
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