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Fahr's Disease Presenting as Mania: A Case Report
Sheikh Shoib1, Mohammad Maqbool Dar1, Tasleem Arif2
1Department of Psychiatry, GMC Srinagar.
Iranian Journal of Psychiatry and Behavioral Sciences
|March 20, 2014
Summary
Fahr's disease, a rare neurological disorder, can manifest with psychiatric symptoms like mania. This case highlights the importance of considering organic causes for mania in patients with intracranial calcifications.
Area of Science:
- Neurology
- Psychiatry
Background:
- Fahr's disease is a rare neurological disorder characterized by bilateral intracranial calcifications.
- It often presents with diverse neurological and psychiatric symptoms.
Observation:
- A 21-year-old male presented with acute mania, including aggression, talkativeness, restlessness, and insomnia.
- Neurological examination was normal, but mental status examination indicated mania.
Findings:
- Brain imaging revealed symmetrical, extensive calcifications in the basal ganglia and cerebral hemispheres, consistent with Fahr's disease.
- This is the first reported case of mania associated with Fahr's disease in a Kashmiri patient.
Implications:
- This case underscores the necessity of investigating organic etiologies, such as Fahr's disease, in patients presenting with mania.
- Early diagnosis and management with mood stabilizers led to significant behavioral improvement within four weeks.
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