Secondary Fahr’s Disease: A Consequence of Post-Thyroidectomy Hypoparathyroidism

Mahmood, N. and Hamid, J. and Khan, F. and Khurram, M. and Alam, M. (2019) Secondary Fahr’s Disease: A Consequence of Post-Thyroidectomy Hypoparathyroidism. European Journal of Case Reports in Internal Medicine, 6 (6). ISSN 2284-2594

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Abstract

Objective: The objective of this case report is to emphasize the importance of considering uncommon conditions like Fahr’s disease in the differential diagnosis of seizures and cognitive impairment, especially in patients with a history of thyroidectomy. Material and Methods: A 56-year-old woman who had undergone subtotal thyroidectomy 25 years previously presented with movement disorder and cognitive impairment secondary to hypoparathyroidism. A CT scan of the brain showed pathognomonic bilateral calcification in the basal ganglia, thalamus and cerebellar nuclei. Result: The patient was diagnosed with Fahr’s disease caused by post-thyroidectomy hypoparathyroidism and successfully managed with oral calcium, carbidopa/levodopa and haloperidol. Conclusion: We recommend the routine use of CT scanning in the long-term follow-up of post-thyroidectomy patients.

Item Type: Article
Uncontrolled Keywords: Fahr’s disease, CT scan brain, hypoparathyroidism, thyroidectomy, basal ganglia
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Lorenzo Sgro
Date Deposited: 28 Feb 2020 15:23
Last Modified: 28 Feb 2020 15:23
URI: http://eprints.bice.rm.cnr.it/id/eprint/19474

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