An unexpected diagnosis in early pediatric age group: Fahr syndrome manifested with epileptic seizure

Abstract

Intracerebral calcifications are one of the essential parameters in the diagnosis of some neurological diseases. Fahr group is a rare pathologic entity presenting with basal ganglion calcifications. Symmetrical basal ganglion calcifications and an etiologic reason (metabolic, hormonal, or infectious) constitute the main picture of Fahr syndrome. This syndrome usually begins at the third and fourth decade and is often with accompanying neuropsychiatric symptoms. We presented the case of a 7 years old child who was admitted to the hospital with an atypical tonic-clonic epileptic seizure. Bilateral basal ganglion calcifications were detected at the level of globus pallidus. Clinical and laboratory findings were compatible with secondary hyperparathyroidism.