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Case Reports

Fahr’s Syndrome and Pseudohypoparathyroidism- A rare clinical entity

Authors:

Richmond Ronald Gomes ,

Ad-din Women’s Medical College Hospital, Dhaka, BD
About Richmond Ronald
Department of Medicine
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Moin Shahid

Ad-din Women’s Medical College Hospital, Dhaka, BD
About Moin
Department of Endocrinology
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Abstract

Physiological intracranial calcification occurs in about 0.3-1.5% of cases. It is asymptomatic and detected incidentally by neuroimaging. Pathological basal ganglia calcification is due to various causes, such as: metabolic disorders, infectious and genetic diseases. Hypoparathyroidism and pseudohypoparathyroidism are the one of the causes of pathological basal ganglia calcification. Besides tetany and seizures this condition is presented by parkinsonism and dementia. Infections (toxoplasmosis, rubella, cytomegalovirus, cysticercosis, AIDS) give multiple and asymmetric intracranial calcification. Inherited and neurodegenerative diseases cause symmetrical, bilateral basal ganglia calcification which is not related to metabolic disorders. Fahr’ssyndrome is a rare entity characterized by the presence of bilateral intracranial calcifications with predilection for the basal ganglia and dentate nuclei. It is commonly associated with endocrine disorders, particularly parathyroid and Vitamin D disturbances. Herein we report a case of pseudohypoparathyroidism revealed by Fahr’s disease.
How to Cite: Gomes, R.R. and Shahid, M., 2020. Fahr’s Syndrome and Pseudohypoparathyroidism- A rare clinical entity. Sri Lanka Journal of Diabetes Endocrinology and Metabolism, 10(2), pp.47–53. DOI: http://doi.org/10.4038/sjdem.v10i2.7421
Published on 25 Aug 2020.
Peer Reviewed

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