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Psychosomatics. 2005 Nov-Dec;46(6):569-72.

Paranoid delusions and cognitive impairment suggesting Fahr's disease.

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1
Department of Psychiatry and Behavioral Sciences, Davis Medical Center, University of California, 2230 Stockton Blvd., Sacramento, CA 95817, USA.

Abstract

The 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.

PMID:
16288137
DOI:
10.1176/appi.psy.46.6.569
[Indexed for MEDLINE]
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