Fahr disease: juvenile onset

Case contributed by Sanjay Nathani
Diagnosis certain

Presentation

Progressive deterioration of cognitive and motor functions.

Patient Data

Age: 14 years
Gender: Male

CT imaging reveals bilateral, symmetrical, hyperdense lesions, suggestive of calcifications involving globi pallidi, putamina, caudate nuclei, internal capsules, thalami, dentate nuclei, cerebellum and subcortical white matter. 

Case Discussion

Blood chemistry revealed normal serum levels of calcium, phosphorus and alkaline phosphatase. 

The CT scan findings when correlated with typical clinical history and normal blood chemistry were suggestive of Fahr disease.

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