Fahr Syndrome
Diseases

Author: Gianpiero Pescarmona
Date: 28/04/2016

Description

DEFINITION

Fahr's Syndrome is a rare, genetically dominant, inherited neurological disorder characterized by abnormal deposits of calcium in areas of the brain that control movement, including the basal ganglia and the cerebral cortex.

NINDS Fahr's Syndrome Information Page
The Diseases Database
Fahr’s syndrome: literature review of current evidence, 2013

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Fahr disease

EPIDEMIOLOGY

Fahr’s disease commonly affects young to middle aged adults.

SYMPTOMS

A wide variety of symptoms, ranging from neurological symptoms of extrapyramidal system to neuropsychiatric abnormalities of memory and concentration to movement disorders including Parkinsonism, chorea and tremors amongst others.

DIAGNOSIS

histopathology
radiology
NMR

  • Calcified deposits are made up of calcium carbonate and calcium phosphate, and are commonly located in the Basal Ganglia, Thalamus, Hippocampus, Cerebral cortex, Cerebellar Subcortical white matter and Dentate Nucleus.

laboratory tests

PATHOGENESIS

In the case of intracellular calcification we can assume that calcium intracellular concentration is increased. The possible mechanisms, either genetic or acquired, can be summarized in:

  • higher calcium influx
  • reduced Ca++ ATPase activity

Endocrine disorders, particularly parathyroid disturbances are most commonly associated with Fahr’s syndrome. These abnormalities include idiopathic hypoparathyroidism, secondary hypoparathyroidism, pseudohypoparathyroidism, pseudo-pseudohypoparathyroidism and hyperparathyroidism.

PATIENT RISK FACTORS

Vascular

Genetic

Acquired

Hormonal

Genetic

Acquired

TISSUE SPECIFIC RISK FACTORS

anatomical (due its structure)

vascular (due to the local circulation)

physiopathological (due to tissue function and activity)

COMPLICATIONS

THERAPY

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