Fahr’s disease: A rare case report

Abstract

Fahr’s disease may be defined as a rare, degenerative neurological condition which presents itself as an idiopathic, bilatera l deposition of calcium in the striopallidodentate area of the brain. Here we are presenting a case of a 38 years old female patient with complaints of fever since three days, two episodes of generalized tonic–clonic seizure (GTCS) which lasted for 10-15 minutes. Symptoms like anger outbursts, irritability, forgetfulness, tingling and numbness of extremities were noted. Chvostek sign, Trousseau sign and Café au lait spots were observed. Based on the evidences obtained from laboratory investigations and CT/USG scan the patient was diagnosed with Fahr’s disease. The pharmacotherapy of this case included Phenytoin 100 mg for convulsions, Calcium gluconate injection (10%) single dose under heart rate monitoring, Ferrous sulfate, Vitamin D supplements, Thyroxine for elevated TSH levels and Ceftriaxone for prophylaxis. As with other neurodegenerative conditions, there is currently no known cure for Fahr’s disease, thus symptomatic relief is the main focus of treatment. Testing calcium levels every month is mandatory to modify the treatment plan accordingly. Awareness about physical health, psychological counseling and Cognitive behavioural therapy may be beneficial in improving the quality of life and prevent further health complications.