BMJ Case Reports 2013; doi:10.1136/bcr-2013-009853

Recurrent seizures, progressive cognitive decline, Parkinsonism and a calcified brain: is it Fahr's disease?

  1. Osama S M Amin
  1. Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq
  1. Correspondence to Dr Osama S M Amin, dr.osama.amin{at}


A 34-year-old man developed three generalised seizures over a period of 2 weeks. He had generalised rigidity and mild bilateral symmetrical resting tremor. His deep tendon reflexes were normal with downward planter reflexes. His elder brother noticed that the patient had a progressive cognitive decline over the past few years. He resides in a village and works in a grocery store. His blood tests, including serum calcium, phosphate, alkaline phosphatase and parathyroid hormone, were within their normal …

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