Fahr's Syndrome: A Patient with Idiopathic Hypoparathyroidy in the Emergency Department
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Emergency Medicine Physicians Assoc Turkey
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Patients attending emergency departments (EDs) with nonspecific neurological symptoms have a wide range of differential diagnoses. In this case report, we present a female patient with episodic peripheral paresthaesia, who ended up with a diagnosis of Fahr's syndrome, a rare pathology characterised by bilateral striatopallydodental calcifications. A 78 year old female presented to our ED with numbness in the left arm and leg, and a history of four episodes of facial numbness which occurred during the previous day. Physical examination of the patient revealed no lateralising neurological deficits, but Chvostek's sign was (+). The only notable pathology of the patient arising from routine lab work was the Ca level of Ca++ (5.8 mg/dL). A computed tomography scan of the brain showed bilateral calcifications in the basal ganglia and cerebellum. The patient was examined by a neurology and endocrinology consultant in the ED and hospitalised for hypocalcaemia replacement and further diagnostic endocrinology investigations related to Fahr's syndrome. In patients with acute nonspecific neuropsychiatric symptoms, especially in the case of Ca++ metabolism disorders, Fahr's syndrome should be a part of differential diagnosis, and diagnostic investigations performed in the ED should include this syndrome.
Açıklama
Anahtar Kelimeler
Fahr's syndrome, emergency department, hypocalcaemia, hypoparathyroidy
Kaynak
Journal of Emergency Medicine Case Reports
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
4
Sayı
2
