The Fahr syndrome case admitted to our emergency department with iatrogenic hypoparathyroidism secondary dizziness and complaints of contractions in the hands
Ferit Çelik1, Kübra Urhan Dana1, Oğuzcan Özkan1, Fatih Dana2, Ilgın Yıldırım Şimşir3, L. Füsun Saygılı3
1Ege Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı, İzmir, Türkiye
2Ege Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, İzmir, Türkiye
3Ege Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı, Endokrinoloji ve Metabolizma Hastalıkları Bilim Dalı, İzmir, Türkiye
Keywords: Dizziness; Fahr syndrome; hypocalcemia; hypoparathyroidism; Trousseau sign.
Abstract
The etiology of Fahr syndrome is precisely not known. Hypoparathyroidism, pseudohypoparathyroidism or hyperparathyroidism may give rise to this syndrome. Fahr syndrome is a disease characterized by neurodegenerative disorders that present with calsinosis in the cerebellum, thalamus and basal ganglia as a result of calcium and phosphorus metabolism defect. Deposition of calcium and other minerals can be indicated on brain computed tomography. In this article, we present a 68-year-old male patient, who had undergone subtotal thyroidectomy surgery 15 years ago, admitted to the emergency department with dizziness and contraction in the hands, and we detected hypocalcemia on his examination. We considered Fahr syndrome due to hypoparathyroidism.