PAMJ Clinical Medicine (Jun 2020)
Fahr´s disease presenting with epileptic seizures: a case report
Abstract
Fahr is a rare neurological disorder that leads to abnormal, symmetrical, and bilateral calcification of the basal ganglia and other brain regions, seizures are one of many symptoms to lead to the diagnosis of this disease. We here report a 45-year-old male diagnosed as Fahr´s disease presenting with loss of consciousness and multiples seizures. A 45-year-old male with a history of an untreated depressive syndrome, smoking, and active alcoholism, admitted to the emergency department with a sudden loss of consciousness and multiples seizures. The Computed tomography scan showed a bilateral and symmetric deposit of calcifications in basal ganglia, the blood tests excluded any other anomaly that may lead to secondary intracranial calcification, the patient denied any similar cases in the family, the clinical, biological and radiological findings were compatible with a sporadic form of Fahr´s disease. Seizures are ones of the rarest symptoms that can reveal a Fahr´s disease, the finding of bilateral and symmetrical calcification of basal ganglia in a patient presenting with seizures should be reminiscent of this illness after excluding any other pathological processes leading to secondary intracranial calcification.
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