Fahr’s Disease Presenting with Seizures and Behavioral Disturbance in a 14-Year-Old Adolescent

Authors

  • Tumpa Indrani Ghose Psychiatrist, Lifesping Consultancy Limited, Assistant Professor, Department of Psychiatry, Mymensingh Medical College, Bangladesh
  • Sayedul Ashraf Kushal Lead Psychiatrist, Lifesping Consultancy Limited, Bangladesh
  • Md Mohidul Islam Resident Medical Officer, Asgar Ali Hospital, Gandaria, Dhaka, Bangladesh
  • Yahia Md Amin Chairman, Lifesping Consultancy Limited, Dhaka, Bangladesh
  • Zunayed Al Azdi Research & Development Coordinator, Lifesping Consultancy Limited, Dhaka, Bangladesh
  • Saiful Islam Saif Researcher, Lifesping Consultancy Limited, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v43i2.80669

Keywords:

neurodegenerative disorder; dementia; rare psychiatric disorder; vessel calcifications

Abstract

Fahr's disease is a rare neurodegenerative disorder characterized by abnormal brain calcifications, typically presented in middle age. This case report describes an unusual presentation in a 14-year-old boy, highlighting the importance of considering Fahr's disease in pediatric patients. The patient had a 5-year history of seizures, cognitive decline, and behavioral disturbances, along with obesity, short stature, low intelligence, and a clumsy gait. Imaging revealed extensive symmetrical calcifications in the basal ganglia, dentate nucleus, and cerebral white matter, confirming Fahr's disease. The condition can present diverse neurological and psychiatric symptoms, including seizures, movement disorders, cognitive impairment, and mood disturbances. Diagnosis requires excluding secondary causes of brain calcification and is supported by characteristic radiological findings and the absence of biochemical abnormalities. This case underscores the need for early recognition and comprehensive evaluation to optimize management and improve the patient's quality of life, even in the absence of family history.

J Bangladesh Coll Phys Surg 2025; 43: 183-185

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Published

2025-04-30

How to Cite

Ghose, T. I., Kushal, S. A., Islam, M. M., Amin, Y. M., Azdi, Z. A., & Saif, S. I. (2025). Fahr’s Disease Presenting with Seizures and Behavioral Disturbance in a 14-Year-Old Adolescent. Journal of Bangladesh College of Physicians and Surgeons, 43(2), 183–185. https://doi.org/10.3329/jbcps.v43i2.80669

Issue

Vol. 43 No. 2 (2025)

Section

Case Reports

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