title: Fahr's disease: an incidental finding in a patient of tubercular meningitis.
abstract: Fahr's disease, also known as idiopathic basal ganglia calcification, is a rare clinical entity characterised by bilaterally symmetric calcification of the basal ganglia. Most of the patients present with extrapyramidal symptoms, but the natural history, progression and treatment still remain unknown. We report a case of tubercular meningitis diagnosed by a cerebrospinal fluid examination with incidental findings of an extensive basal ganglia calcification on CT. CT of sibling, done to evaluate an episode of seizure, revealed strikingly similar calcification. Both these calcifications were due to Fahr's disease. The patient was treated with antitubercular and antiepileptic drugs. The patient fully recovered clinically and currently is seizure-free on antiepileptic treatment.
authors.affiliation: Department Internal Medicine, PGIMER & Dr. Ram Manohar Lohia Hospital, New Delhi, India. puneetaggarwal4u@gmail.com
authors.forename: Puneet
authors.initials: P
authors.lastname: Aggarwal
authors.forename: Gunjan
authors.initials: G
authors.lastname: Kumar
authors.forename: Nishanth
authors.initials: N
authors.lastname: Dev
authors.forename: Shalabh
authors.initials: S
authors.lastname: Jain
mesh_terms: D000328:Adult; D001480:Basal Ganglia Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D019636:Neurodegenerative Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014390:Tuberculosis, Meningeal / Q000150:complications*