An Elderly Lady with Tetany and Brain Calcification

Authors

  • Kaniz Fatema Associate Professor, Dept of Critical Care Medicine, BIRDEM General Hospital, Shahbag, Dhaka
  • Shriear Tanbeen Medical Officer, ICU, Islami Bank Central Hospital Kakrail, Dhaka
  • Md Sahidul Hoque Ashek Medical Officer, ICU, Islami Bank Central Hospital Kakrail, Dhaka
  • Khandaker Sabbir Ahmed In-charge ICU, Islami Bank Central Hospital Kakrail, Dhaka
  • Debasish Kumar Saha Assistant Professor, Dept of CCM, BIRDEM General Hospital, Dhaka
  • Rozina Sultana Assistant Professor, Dept of CCM, BIRDEM General Hospital, Dhaka
  • ASM Areef Ahsan Head & Professor, Dept of CCM, BIRDEM General Hospital, Dhaka

DOI:

https://doi.org/10.3329/bccj.v12i2.76462

Keywords:

Basal ganglia calcification, Fahr’s syndrome, Hypocalcemia, Hypoparathyroidism, Tetany

Abstract

We present the case of a 59-year-old Bangladeshi lady who presented in Intensive Care Unit with tetany and altered level of consciousness. Tetany resolved after giving IV calcium injection. Initial laboratory investigations showed hypocalcemia. Non-contrast CT brain showed irregular bilateral symmetrical calcifications in basal ganglia, thalami, cerebellum and corona radiata. Subsequent laboratory test revealed low parathyroid hormone level. So, she was diagnosed as Fahr’s syndrome due to secondary hypoparathyroidism. This is a rare neurological disorder characterized by metabolic, biochemical, neuroradiological and neuropsychiatric abnormalities due to symmetrical and bilateral intracranial calcifications.

Bangladesh Crit Care J September 2024; 12 (2): 160-162

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Published

2024-10-16

How to Cite

Fatema, K., Tanbeen, S., Ashek, M. S. H., Ahmed, K. S., Saha, D. K., Sultana, R., & Ahsan, A. A. (2024). An Elderly Lady with Tetany and Brain Calcification. Bangladesh Critical Care Journal, 12(2), 160–162. https://doi.org/10.3329/bccj.v12i2.76462

Issue

Vol. 12 No. 2 (2024)

Section

Case Reports

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