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Case Reports
. 2005 Nov-Dec;46(6):569-72.
doi: 10.1176/appi.psy.46.6.569.

Paranoid delusions and cognitive impairment suggesting Fahr's disease

Shamim V Shakibai  1 , Joel P Johnson, James A Bourgeois
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Free article
Case Reports

Paranoid delusions and cognitive impairment suggesting Fahr's disease

Shamim V Shakibai et al. Psychosomatics. 2005 Nov-Dec.
Free article

Abstract

The authors present the case of a 60-year-old woman with elaborate paranoid delusions and cognitive impairment found during a workup for atypical chest pain. Clinical evaluation revealed mild dementia, and radiography showed basal ganglia calcification consistent with Fahr's disease. She was treated with risperidone and transferred to a psychiatric inpatient unit for definitive care. Psychiatrists should consider Fahr's disease as a differential diagnosis in the evaluation of psychosis and cognitive impairment when neuroimaging reveals calcification of the basal ganglia.

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