A RARE CASE OF SECONDARY FAHR'S SYNDROME AS A SEQUELAE OF POST THYROIDECTOMY HYPOPARATHYROIDISM REPORTED TO A TERTIARY CARE HOSPITAL.

Abstract

OBJECTIVES: To emphasize the presentation, etiopathogenesis and various diagnostic findings in a case of secondary Fahr's syndrome. METHODOLOGY: A 35 year old female who had undergone total thyroidectomy 9 yrs ago due to papillary carcinoma of thyroid, presented with seizures and weakness in both lower limbs, secondary to hypoparathyroidism. Non contrast computed tomography of brain showed bilateral calcification in basal ganglia, centrum semiovale and cerebellar hemisphere. RESULT: The patient was diagnosed with Fahr's syndrome as a sequelae of post thyroidectomy hypoparathyroidsm. CONCLUSION: We recommend the follow up of blood calcium, phosphorus , PTH levels every 3 months during 1st year after Thyroidectomy and every 6 months subsequently, for the long term follow up of post -thyroidectomy patients along with routine CT scanning.