Fahr’s Disease Presenting with Neuropsychiatric Symptoms: A Case Report

Fahr's disease

Abstract

Introduction: Fahr’s disease is a rare neurological disorder characterized by idiopathic bilateral calcifications in the basal ganglia and other regions of the brain. This case highlights the diagnostic approach and management of a patient presenting with progressive neuropsychiatric symptoms.

Case Presentation: A 72-year-old male presented with tremors, memory impairment, and disorientation. Neurological examination revealed bradykinesia, reduced arm swing, and stooped posture. Computed Tomography (CT) of brain revealed extensive bilateral symmetrical calcifications in the basal ganglia. Secondary causes were excluded through normal biochemical investigations. The patient was treated with memantine, amantadine, ropinirole, and vitamin D supplementation.

Results: Over six weeks, cognitive function and sleep improved, with reduction in tremors and rigidity.

Conclusion: Fahr’s disease should be suspected in elderly patients presenting with progressive neuropsychiatric symptoms and characteristic imaging findings. Early recognition and symptomatic management improve quality of life.