Open AccessFahr's Syndrome Misdiagnosed as delusional disorder: A Case Report
Author(s) -
Onur Hurşitoğlu,
Taha Can Tuman
Publication year - 2020
Publication title -
nöropsikiyatri arşivi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 14
ISSN - 1309-4866
DOI - 10.29399/npa.24888
Subject(s) - basal ganglia , neurological examination , medicine , psychosis , delusional disorder , etiology , physical examination , presentation (obstetrics) , neuroimaging , pediatrics , movement disorders , psychology , psychiatry , disease , surgery , pathology , central nervous system
Fahr's disease is a rare neurological disorder that is characterized by bilateral basal ganglia calcification. In the present study, a 49-year-old male patient presented with delusional beliefs. He had normal neurologic examination. Follow-up mental status examination and clinical findings revealed delusional disorder. After three weeks, the patient presented to the clinic with postural tremor in the hands, and gait difficulties. A cranial CT scan showed that he had bilateral basal ganglia, thalamus, and centrum semiovale calcifications. The case illustrates the importance of considering organic etiologies before diagnosing a patient, particularly one who has late-onset presentation of psychosis.