Fahr disease

Synonyms:

a.k.a. idiopathic basal ganglia calcification

Diagnosis:

A combination of clinical features, imaging and other testing

Clinical features:

  • 30-60 y.o.
  • Progressive dystonia, dysphagia, neuropsychiatric symptoms, ataxia

Genetics:

  • Autosomal dominant
  • Chr. 14q,

Findings on investigations:

CT: calcification in the globus pallidus, but also occurs in putamen, caudate, dentate, thalamus and cerebral white matter
Serum calcium & phosphate: Normal
Investigations for hyperparathyroidism: negative

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