Unexplained neuropsychiatric symptoms in intensive care: A Fahr syndrome case

Fahr syndrome is a rare disease where calcium and other minerals are stored bilaterally and symmetrically in the basal ganglia,cerebellar dentate nucleus and white matter. fahr syndrome is associated with various metabolic disorders,mainly parathyroid disorders. the presented case discusses a 64-year old male patient admitted to the intensive care unit of our hospital diagnosed with aspiration pneumonia and urosepsis. the cranial tomography examination to explain his nonspecific neurological symptoms showed bilateral calcifications in the temporal,parietal,frontal,occipital lobes,basal ganglia,cerebellar hemisphere and medulla oblongata posteriorly. his biochemical test results also indicated parathormone-calcium metabolic abnormalities. fahr syndrome must be considered for a definitive diagnosis in patients with nonspecific neuropsychiatric symptoms and accompanying calcium metabolism disorders in order to control serious morbidity and complications because of neurological damage. © 2016,pakistan medical association. all rights reserved.