A case of familial intracranial calcification – Fahr’s disease
Fahr’s disease, an uncommon disorder characterized by bilateral intracranial brain parenchymal calcification, presents with diverse neurological manifestations. It is often an autosomal dominantly inherited disorder with incomplete penetrance. The most frequently implicated are mutations involving S...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Muller Journal of Medical Sciences and Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/mjmsr.mjmsr_20_25 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849424465771888640 |
|---|---|
| author | Anu Jacob George Sarin Zacharia |
| author_facet | Anu Jacob George Sarin Zacharia |
| author_sort | Anu Jacob |
| collection | DOAJ |
| description | Fahr’s disease, an uncommon disorder characterized by bilateral intracranial brain parenchymal calcification, presents with diverse neurological manifestations. It is often an autosomal dominantly inherited disorder with incomplete penetrance. The most frequently implicated are mutations involving SLC20A2 on chromosome 8p, while others involve genes XPR1, PDGFRB, PDGFB, and IBGC1. Neuroimaging typically reveals symmetrical dense calcifications, predominantly affecting the basal ganglia but may extend to other brain regions. Diagnosis relies on classical imaging findings, exclusion of alternative etiologies, and a positive family history or genetic analysis. This case report describes a patient with dysarthria, choreoathetosis, and spasticity, with CT brain confirming dense bilateral calcification of the basal ganglia, in whom, despite extensive evaluation, no specific etiology was identified, prompting consideration of Fahr’s disease. Neuroimaging of the patient’s son confirmed similar findings, suggesting the familial nature of the disease. Unfortunately, effective therapies to prevent or halt disease progression are lacking, and treatment mainly focuses on managing symptoms. |
| format | Article |
| id | doaj-art-5469003f23b740b5af8c52e4e2cb21b1 |
| institution | Kabale University |
| issn | 0975-9727 2321-3701 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Muller Journal of Medical Sciences and Research |
| spelling | doaj-art-5469003f23b740b5af8c52e4e2cb21b12025-08-20T03:30:09ZengWolters Kluwer Medknow PublicationsMuller Journal of Medical Sciences and Research0975-97272321-37012025-01-01161899110.4103/mjmsr.mjmsr_20_25A case of familial intracranial calcification – Fahr’s diseaseAnu JacobGeorge Sarin ZachariaFahr’s disease, an uncommon disorder characterized by bilateral intracranial brain parenchymal calcification, presents with diverse neurological manifestations. It is often an autosomal dominantly inherited disorder with incomplete penetrance. The most frequently implicated are mutations involving SLC20A2 on chromosome 8p, while others involve genes XPR1, PDGFRB, PDGFB, and IBGC1. Neuroimaging typically reveals symmetrical dense calcifications, predominantly affecting the basal ganglia but may extend to other brain regions. Diagnosis relies on classical imaging findings, exclusion of alternative etiologies, and a positive family history or genetic analysis. This case report describes a patient with dysarthria, choreoathetosis, and spasticity, with CT brain confirming dense bilateral calcification of the basal ganglia, in whom, despite extensive evaluation, no specific etiology was identified, prompting consideration of Fahr’s disease. Neuroimaging of the patient’s son confirmed similar findings, suggesting the familial nature of the disease. Unfortunately, effective therapies to prevent or halt disease progression are lacking, and treatment mainly focuses on managing symptoms.https://journals.lww.com/10.4103/mjmsr.mjmsr_20_25basal gangliabraincalcificationfahr’sintracranial |
| spellingShingle | Anu Jacob George Sarin Zacharia A case of familial intracranial calcification – Fahr’s disease Muller Journal of Medical Sciences and Research basal ganglia brain calcification fahr’s intracranial |
| title | A case of familial intracranial calcification – Fahr’s disease |
| title_full | A case of familial intracranial calcification – Fahr’s disease |
| title_fullStr | A case of familial intracranial calcification – Fahr’s disease |
| title_full_unstemmed | A case of familial intracranial calcification – Fahr’s disease |
| title_short | A case of familial intracranial calcification – Fahr’s disease |
| title_sort | case of familial intracranial calcification fahr s disease |
| topic | basal ganglia brain calcification fahr’s intracranial |
| url | https://journals.lww.com/10.4103/mjmsr.mjmsr_20_25 |
| work_keys_str_mv | AT anujacob acaseoffamilialintracranialcalcificationfahrsdisease AT georgesarinzacharia acaseoffamilialintracranialcalcificationfahrsdisease AT anujacob caseoffamilialintracranialcalcificationfahrsdisease AT georgesarinzacharia caseoffamilialintracranialcalcificationfahrsdisease |