[Acute Generalized Chorea, Dystonia and Brain Calcifications: A Case Report]

Area of Science:

• Neurology
• Endocrinology
• Radiology

Background:

• Fahr's Syndrome involves pathological basal ganglia calcification, often linked to parathyroid issues.
• Movement disorders like chorea and dystonia are potential clinical manifestations.

Observation:

• A 49-year-old male with a history of thyroidectomy presented with acute chorea and dystonia.
• Laboratory tests revealed hypocalcemia and rhabdomyolysis.
• CT scans confirmed basal ganglia calcification.

Findings:

• The patient was diagnosed with Fahr's Syndrome secondary to iatrogenic hypoparathyroidism.
• Successful management involved stabilizing calcium levels, resolving neurological symptoms.

Implications:

• This case highlights the importance of investigating and treating hypocalcemia post-thyroidectomy.
• Early intervention is critical to mitigate irreversible intracerebral calcifications and neurological consequences.