title: Unexplained neuropsychiatric symptoms in intensive care: A Fahr Syndrome case.
abstract: Fahr Syndrome is a rare disease where calcium and other minerals are stored bilaterally and symmetrically in the basal ganglia, cerebellar dentate nucleus and white matter. Fahr Syndrome is associated with various metabolic disorders, mainly parathyroid disorders. The presented case discusses a 64-year old male patient admitted to the intensive care unit of our hospital diagnosed with aspiration pneumonia and urosepsis. The cranial tomography examination to explain his nonspecific neurological symptoms showed bilateral calcifications in the temporal, parietal, frontal, occipital lobes, basal ganglia, cerebellar hemisphere and medulla oblongata posteriorly. His biochemical test results also indicated parathormone-calcium metabolic abnormalities. Fahr Syndrome must be considered for a definitive diagnosis in patients with nonspecific neuropsychiatric symptoms and accompanying calcium metabolism disorders in order to control serious morbidity and complications because of neurological damage.
authors.affiliation: Clinic of Critical Care, Ataturk Education and Research Hospital, Ankara, Turkey.
authors.forename: Duygu Kayar
authors.initials: DK
authors.lastname: Calili
authors.affiliation: Clinic of Critical Care, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Nevzat Mehmet
authors.initials: NM
authors.lastname: Mutlu
authors.affiliation: Clinic of Neurology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Ayse Pinar
authors.initials: AP
authors.lastname: Mutlu Titiz
authors.affiliation: Clinic of Critical Care, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Zeynep Nur
authors.initials: ZN
authors.lastname: Akcaboy
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Eda Macit
authors.initials: EM
authors.lastname: Aydin
authors.affiliation: Clinic of Critical Care, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Isil Ozkocak
authors.initials: IO
authors.lastname: Turan
mesh_terms: D001480:Basal Ganglia Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002819:Chorea / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology; D003704:Dementia / Q000209:etiology; D003863:Depression / Q000209:etiology; D004401:Dysarthria / Q000209:etiology; D006801:Humans; D007011:Hypoparathyroidism / Q000150:complications; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D019636:Neurodegenerative Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D020734:Parkinsonian Disorders / Q000209:etiology; D018805:Sepsis / Q000150:complications; D014057:Tomography, X-Ray Computed; D014202:Tremor / Q000209:etiology; D014552:Urinary Tract Infections / Q000150:complications
keywords: Fahr syndrome, Calcification, Intensive care.