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. 2014 Apr;56(2):188-90.
doi: 10.4103/0019-5545.130506.

A case of psychosis due to Fahr's syndrome and response to behavioral disturbances with risperidone and oxcarbazepine

Abhijeet Dhawalram Faye  1 , Sushil Gawande  1 , Rahul Tadke  1 , Vivek C Kirpekar  1 , Sudhir H Bhave  1
Affiliations

A case of psychosis due to Fahr's syndrome and response to behavioral disturbances with risperidone and oxcarbazepine

Abhijeet Dhawalram Faye et al. Indian J Psychiatry. 2014 Apr.

Abstract

Calcification of basal ganglia or Fahr's syndrome is a rare disease characterized by bilateral and symmetrical intracranial deposition of calcium mainly in cerebral basal ganglia. Motor and neuropsychiatric symptoms are prominent features. We report a case presented with a few motor symptoms, features of delirium and prominent psychiatric symptoms (disorganized behavior) predominantly evident after the improvement in delirium. Radiological findings were suggestive of bilateral basal ganglia calcification. Parathyroid hormone levels were low with no significant findings in other investigations and negative family history. Patient showed significant improvement in behavioral disturbances with risperidone, low dose of lorazepam, oxcarbazepine, and memantine.

Keywords: Basal ganglia; Fahr's syndrome; calcification; parathyroid hormone; psychiatric symptoms.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Computed tomography section of the patient showing calcification in Basal ganglia region
See this image and copyright information in PMC

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