Idiopathic Bilateral Basal Ganglia Calcification (Fahr's Disease) Presenting with Psychotic Depression and Criminal Violence: A Case Report With Forensic Aspect

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dc.authoridGorgulu, Yasemin/0000-0002-3401-4879
dc.authorwosidGorgulu, Yasemin/S-4355-2017
dc.contributor.authorOzer, Urun
dc.contributor.authorGorgulu, Yasemin
dc.contributor.authorCan Gungor, Ferda
dc.contributor.authorGencturk, Mert
dc.date.accessioned2024-06-12T11:01:46Z
dc.date.available2024-06-12T11:01:46Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractFahr's disease is a rare neuropsychiatric disease characterized by bilateral intracranial calcification, primarily in the basal ganglia. The more general term, Fahr's syndrome, is used for primary and secondary basal ganglia calcification, regardless of the etiology, but the term Fahr's disease is used to describe primary, idiopathic cases. Fahr's disease may present with neurological symptoms, such as parkinsonism and extrapyramidal symptoms, dysarthria, paresis, convulsion, and syncope. Psychiatric disorders, including behavioral disorders, psychosis, and mood disorders, as well as cognitive disorders can occur. CT is useful for the diagnosis of Fahr's disease. Herein we present a patient diagnosed as Fahr's disease that presented with symptoms of depression, delusions, and auditory hallucinations. The 47-year-old male patient was hospitalized in a forensic psychiatry inpatient clinic due to aggressive behavior and was subsequently diagnosed with major depressive disorder with psychotic features. While hospitalized he was treated with antidepressant and antipsychotic drugs, as well as electroconvulsive therapy, resulting in significant improvement in his symptoms. As bilateral basal ganglia calcification was observed via CT, the patient was diagnosed as Fahr's disease. This case report emphasizes the importance of cranial imaging and detailed laboratory examination when evaluating patients with psychosis and affective symptoms. Pathologies such as Fahr's disease must be included in the differential diagnosis, especially in cases with neurological symptoms and cranial imaging findings.en_US
dc.identifier.endpage144en_US
dc.identifier.issn1300-2163
dc.identifier.issue2en_US
dc.identifier.pmid24936761en_US
dc.identifier.scopus2-s2.0-84902972555en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage140en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21010
dc.identifier.volume25en_US
dc.identifier.wosWOS:000337335600009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkiye Sinir Ve Ruh Sagligi Dernegien_US
dc.relation.ispartofTurk Psikiyatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFahr's Diseaseen_US
dc.subjectDepressionen_US
dc.subjectPsychotic Disordersen_US
dc.subjectSchizophreniaen_US
dc.subjectHistoryen_US
dc.titleIdiopathic Bilateral Basal Ganglia Calcification (Fahr's Disease) Presenting with Psychotic Depression and Criminal Violence: A Case Report With Forensic Aspecten_US
dc.typeArticleen_US

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