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Habitual Patella Dislocation in a patient with Osteogenesis Imperfecta.
1Department of Orthopedics, Suvekchya International Hospital, Kathmandu, Nepal.
Kathmandu University Medical Journal (KUMJ)
|August 30, 2024
Summary
Fahr's disease, a rare neurological disorder, involves calcium deposits in the brain. This case study highlights an elderly woman with Parkinsonian symptoms diagnosed with Fahr's disease.
Area of Science:
- Neurology
- Radiology
- Metabolic disorders
Background:
- Fahr's disease is a rare neurological disorder characterized by idiopathic, bilateral calcification in the basal ganglia, thalamus, and cerebellum.
- The condition often presents with a range of neurological and psychiatric symptoms, making diagnosis challenging.
Observation:
- An 83-year-old female presented with acute loss of consciousness, difficulty walking, mood disturbances, fatigability, blurred vision, and dizziness.
- Neurological examination revealed Parkinsonian features.
Findings:
- Computed tomography (CT) of the head demonstrated bilateral, symmetrical calcifications in the basal ganglia, thalamus, and cerebellum.
- Laboratory tests, including calcium, phosphorus, parathyroid hormone, magnesium, and vitamin D levels, were conducted to rule out other conditions and supported the diagnosis of Fahr's disease.
Implications:
- This case underscores the importance of considering Fahr's disease in elderly patients presenting with Parkinsonian features and cognitive decline.
- Advanced neuroimaging and metabolic workup are crucial for accurate diagnosis and management of Fahr's disease.
- Further research is needed to understand the pathogenesis and develop targeted therapies for Fahr's disease.
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