Presentation
Acute onset aphasia.
Patient Data
No acute infarction. Symmetric areas of calcification seen involving globus pallidi, centrum semiovale and dentate nuclei.
Case Discussion
Common sites of mineral deposition in the brain include globus pallidi and dentate nuclei. A spectrum of aetiologies are responsible for calcium deposition in these sites ranging from idiopathic causes like Fahr disease to metabolic aetiologies like hypoparathyroidism, hyperparathyroidism or pseudohypoparathyroidism.
In childhood, infectious aetiologies (TORCH) should be considered. No identifiable cause for acute onset aphasia was identified in this study.