Síndrome de Fahr secundario a Hipoparatiroidismo primario: Reporte de caso

Abstract

Fahr syndrome is a rare condition that refers to a neuro mineral idiopathic and symmetrical deposition in the basal ganglia and other cerebral regions such as cerebellar nuclei and white matter. This condition could be secondary to endocrinopathies. In this case, we reported a 76-year-old patient with a medical history positive to secondary focal epilepsy, who is admitted to the emergency department with abnormal involuntary movements and language arrest. Further examination shows a cranial computed tomography brain scan with multiple subcortical calcifications. Laboratory results report parathyroid hormone 1.3 pg/mL, Total Calcium 3.7 mg/dL, Magnesium 1.14 mg/dL, 25-Hydroxyvitamin D test 25.9 ng/mL. The patient was diagnosed with severe hypocalcemia due to primary hypoparathyroidism. He underwent medical treatment with adequate improvement.