Psikotik depresyon ve nöbet ile başvuran bir Fahr sendromu olgusu

Fahr sendromu, bilateral bazal ganglia kalsifikasyonu ile karakterize nadir görülen bir nöropsikiyatrik hastalıktır. Fahr tarafından ilk kez 1930'da bildirilmiştir. En sık görülen belirtiler ekstrapiramidal sistem bulguları olsa da, Fahr sendromu nadiren nöbet, bunama ve psikiyatrik belirtilerle de görülebilir. Tedavisi semptomatiktir. Bu yazıda, psikotik depresyon ve jeneralize tonik klonik nöbet ve ile başvuran bir Fahr sendromu olgusu sunulmuştur. (Anadolu Psikiyatri Derg 2016; 17(Êk.3):48-51).

A case of Fahr's syndrome presenting with psychotic depression and seizure

Fahr's syndrome is rarely occurring neuropsychiatric disease which is characterized by symmetric calcifications of basal ganglia. It was described for the first time by Fahr in 1930. Although, the most common symptoms are extrapyramidal system signs, Fahr syndrome might also present with seizure, dementia and psychiatric symptoms. Treatment is symptomatic. We report a case of Fahr syndrome presented by generalized tonic clonic seizure and psychotic depression. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):48-51).

___

1. Mushtaq R, Shoib S, Raju MS, Naphade N, Shah T, Pawar A. Neuropsychiatric manifestations of Fahr's disease pathogenesis and potential for treatment. Ind Psychiatry J 2013; Jul:22(2):153-4.

2. Saleem S, Alsam HM, Anwar M, Anwar S, Saleem M, Saleem A, et al. Fahr's syndrome: literature review of current evidence. Orphanet J Rare Dis 2013; 8:156.

3. Manyam BV, Walters AS, Narla KR. Bilateral striopallidodentate calcinosis: clinical characteristics of patients seen in registry. Mov Disord 2001; 6(2):258-264.

4. Asokan AE, D'souza S, Jeganathan J, Pai S. Fahr's Syndrome-an interesting case presentation. J Clin Diagn Res 2013; 7(3):532-533.

5. Manyam BV. What is and what is not 'Fahr's disease'. Parkinsonism and Relat Disorders 2005; 11:73-80.

6. Benke T, Karner E, Seppi K, Delazer M, Marksteiner J, Donnemiller E. Subacute dementia and imaging correlates in a case of Fahr's disease. J Neurol Neurosurg Psychiatry 2004; 75:1163- 1165.

7. Fahr T. Idiopathische verkalkung der hirngefässe. Zentrabl Allg Pathol 1930; 50:129-133.

8. Yamada N, Hayashi T. Asymptomatic familial basal ganglia calcification with autosomal dominant inheritance: a family report. No to Hattatsu 2000; 32(6):515-519.

9. Gulsun M, Baykız AF, Kabatas S, Belli H. Fahr Syndrome: three cases presenting with psychiatric signs. Eur J Gen Med 2006; 3(1):35-40.

10. Avrahami E, Cohn DF, Feibel M, Tadmor R. MRI demonstration and CT correlation of the brain in patients with idiopathic intracerebral calcification. J Neurol 1994; 241(6):381-384.

11. Lopez-Villegas D, Kulisevsky J, Deus J, Junque C, Pujol J, Guadia E, et al. Neuropsychological alterations in patients with computed tomographydetected basal ganglia calcification. Arch Neurol 1996; 53:251-256.

12. König P. Psychopathological alterations in cases of symmetrical basal ganglia sclerosis. Psychotic disorder induced by Fahr's syndrome. Biol Psychiatry 1989; 25(4):459-468.

13. Özer Ü, Görgülü Y, Can Güngör F, Gençtürk M. Psikotik depresyon ve şiddet davranışı ile başvuran idiyopatik bilateral bazal gangliyon kalsifikasyonu (Fahr hastalığı): Adli yönü dolayısıyla bir olgu sunumu. Türk Psikiyatri Derg 2014; 25(2):140-144.