title: Evaluation of regional cerebral blood flow in fahr disease with schizophrenia-like psychosis: a case report.
abstract: We report the case of a patient with Fahr disease presenting with schizophrenia-like psychosis for whom a technetium Tc99 methyl cysteinate dimmer brain study was used to evaluate regional blood flow. A brain single photon-emission CT study showed increased cerebral blood flow to the bilateral temporal lobes. Such perfusion abnormalities may reflect psychotic symptoms, including auditory hallucinations and delusions, which suggests a disruption of the cortico-subcortical neural circuits in psychosis.
authors.affiliation: Department of Neuropsychiatry, Wakayama Medical University, Kimiidera, Wakayama, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Shoyama
authors.forename: Masaru
authors.initials: M
authors.lastname: Shouyama
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kitabata
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Kaku
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Shinosaki
mesh_terms: D000328:Adult; D001480:Basal Ganglia Diseases / Q000175:diagnosis / Q000503:physiopathology; D002114:Calcinosis / Q000175:diagnosis / Q000503:physiopathology; D002560:Cerebrovascular Circulation / Q000502:physiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011618:Psychotic Disorders / Q000175:diagnosis / Q000503:physiopathology*; D012039:Regional Blood Flow / Q000502:physiology; D012559:Schizophrenia / Q000175:diagnosis / Q000503:physiopathology*; D013667:Technetium; D013687:Telencephalon / Q000098:blood supply* / Q000000981:diagnostic imaging; D013702:Temporal Lobe / Q000000981:diagnostic imaging / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
chemical_list: D013667:Technetium