تقرير
أعرض في EDS

Fahr Disease: A Rare Cause of First-Time Seizure in the Emergency Department.

التفاصيل البيبلوغرافية
العنوان: Fahr Disease: A Rare Cause of First-Time Seizure in the Emergency Department.
المؤلفون: Aldawsari FM; General Practice, ​King Khalid Hospital, Al-Kharj, SAU., Alotaibi TB; Medicine, University of Debrecen, Debrecen, HUN., Hashim OS; National Guard Health Affairs, Prince Mohammed Bin Abdulaziz Hospital, Medina, SAU., Bu Hamad ZA; Medicine, Medical University of Warsaw, Warsaw, POL., Eisaa MR; Medicine, Sulaiman Al Rajhi University, Qassim, SAU., Alhumaidi AA; Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alanazi SM; Medicine, University of Jordan, Amman, JOR., Alenezi FF; Medicine, Jordan University of Science and Technology, Irbid, JOR., Batwie AA; Medicine, King Abdulaziz University, Jeddah, SAU., Habib AA; Medicine, King Abdulaziz University, Jeddah, SAU., Alismail SS; General Practice, King Faisal Hospital, Al-Ahsa, SAU., Almulhim OS; Medicine, King Faisal University, Hofuf, SAU., Al Amer AF; Medicine, Gulf Medical University, Ajman, ARE., Alghamdi TA; Medicine, Al-Baha University, Al Baha, SAU., Al-Hawaj F; Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
المصدر: Cureus [Cureus] 2021 Nov 28; Vol. 13 (11), pp. e19965. Date of Electronic Publication: 2021 Nov 28 (Print Publication: 2021).
نوع المنشور: Case Reports; Retracted Publication
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Seizure is a common neurological problem in the emergency department. First-time seizure needs careful evaluation to exclude the underlying structural brain lesions. Neuroimaging studies, including magnetic resonance imaging and computed tomography scan, are strongly recommended for all adult patients with first-time seizures. We report the case of a 35-year-old woman who was brought to the emergency department because of the first-time loss of consciousness episode. She developed bilateral jerky movements in both her upper and lower limbs. It was associated with frothy secretions from the mouth and cyanosis. The episode lasted for two minutes and terminated spontaneously. The patient was tired after gaining consciousness. The past medical history of the patient was remarkable for anxiety, depression, and polycystic ovarian syndrome. She has undergone multiple cognitive behavioral therapy sessions, but she did not take any psychiatric medications. Neurological examination did not reveal any focal neurological deficit. The patient underwent a computed tomography scan to exclude any space-occupying lesion. The unenhanced scan demonstrated bilateral symmetrical calcification of the basal ganglia. No calcification was noted in the cerebellum or the cerebral cortex. Otherwise, no intracranial pathology was seen. Such findings conferred the diagnosis of Fahr disease. The patient was discharged on carbamazepine to prevent further seizure episodes. After six months of follow-up, the patient did not experience further convulsion episodes. Fahr disease is a rare disorder with a wide spectrum of manifestations. Despite its rarity, physicians should keep this condition as a possible differential diagnosis when they encounter an adult patient with a first-time seizure, particularly in a patient with a history of neuropsychiatric disorders.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Aldawsari et al.)
التعليقات: Expression of concern in: Cureus. 2022 Apr 7;14(4):x26. (PMID: 35463603)
Retraction in: Cureus. 2024 Jan 25;16(1):r104. (PMID: 38274621)
References: Neurology. 2007 Nov 20;69(21):1996-2007. (PMID: 18025394)
Acad Emerg Med. 2001 Jun;8(6):622-8. (PMID: 11388937)
Neurology. 2011 Jan 4;76(1):94-9. (PMID: 21205698)
No To Hattatsu. 2000 Nov;32(6):515-9. (PMID: 11144166)
Orphanet J Rare Dis. 2013 Oct 08;8:156. (PMID: 24098952)
J Neurol Neurosurg Psychiatry. 2004 Aug;75(8):1163-5. (PMID: 15258221)
Mov Disord. 2001 Mar;16(2):258-64. (PMID: 11295778)
Acta Neurol Scand. 1987 Dec;76(6):448-56. (PMID: 3434203)
Nat Genet. 2012 Feb 12;44(3):254-6. (PMID: 22327515)
فهرسة مساهمة: Keywords: case report; computed tomography; fahr disease; neuropsychiatry symptoms; seizure
تواريخ الأحداث: Date Created: 20220105 Latest Revision: 20240126
رمز التحديث: 20240126
مُعرف محوري في PubMed: PMC8713734
DOI: 10.7759/cureus.19965
PMID: 34984125
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.19965