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Extensive bilateral basal ganglia and cerebellar calcification in Fahr’s syndrome after thyroidectomy

T. Uyar, K. Paksoy, C. Çokluk (Rize, Turkey)

Meeting: 2016 International Congress

Abstract Number: 1180

Keywords: Hypocalcemia, Postural tremors(see Tremors)

Session Information

Date: Wednesday, June 22, 2016

Session Title: Neuroimaging (non-PD)

Session Time: 12:00pm-1:30pm

Location: Exhibit Hall located in Hall B, Level 2

Objective: To describe a patient with bilateral cerebral and cerebellar calcification secondary to a hypoparathyroidsm.

Background: Fahr’s Syndrome (FS) is a rare disorder and may occur secondary to metabolic disturbances usually including hypoparathyroidsm. FS is characterized by bilateral calcium deposition in basal ganglia, dentate nucleus and cerebellum.

Methods: A case study.

Results: A 62 years old female patients was admitted in the Department of Neurology ‘Kackar State Emergency Hospital’ with dizziness. She had performed a total thyroidectomy operation fifteen years ago. The patient neurologic examination showed bilateral horizontal nistagmus and extrapyramidal symptoms with essential and postural tremor. A non-contrast CT scan head revealed bilaterally symmetrical hyperdense lesions of calcification, located infra- and supratentorial, involving brainstem, cerebellar hemispheres. The phosphocalcic assessment showed severe hypocalcemia and hyperphosphoremia. Parathormone serum rate was decreased. The patient underwent symptomatic treatment.

Conclusions: We report a Fahr’s syndrome, revealing an iatrogenic parathyroidectomy (accidental surgical removal after during thyroid surgery) related hypoparathyroidism was posed.

To cite this abstract in AMA style:

T. Uyar, K. Paksoy, C. Çokluk. Extensive bilateral basal ganglia and cerebellar calcification in Fahr’s syndrome after thyroidectomy [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/extensive-bilateral-basal-ganglia-and-cerebellar-calcification-in-fahrs-syndrome-after-thyroidectomy/. Accessed June 14, 2025.
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