• Psychosomatics · Nov 2005

    Case Reports

    Paranoid delusions and cognitive impairment suggesting Fahr's disease.

    • Shamim V Shakibai, Joel P Johnson, and James A Bourgeois.
    • Department of Psychiatry and Behavioral Sciences, Davis Medical Center, University of California, 2230 Stockton Blvd., Sacramento, CA 95817, USA.
    • Psychosomatics. 2005 Nov 1;46(6):569-72.

    AbstractThe authors present the case of a 60-year-old woman with elaborate paranoid delusions and cognitive impairment found during a workup for atypical chest pain. Clinical evaluation revealed mild dementia, and radiography showed basal ganglia calcification consistent with Fahr's disease. She was treated with risperidone and transferred to a psychiatric inpatient unit for definitive care. Psychiatrists should consider Fahr's disease as a differential diagnosis in the evaluation of psychosis and cognitive impairment when neuroimaging reveals calcification of the basal ganglia.

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