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1/2010
vol. 6
 
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Case report
Recurrent syncope and hypocalcaemic cardiomyopathy as manifestations of Fahr’s syndrome

Marlena Broncel
,
Marzena Koziróg
,
Justyna Zabielska
,
Adam R. Poliwczak

Arch Med Sci 2010; 6, 1: 117-121
DOI: https://doi.org/10.5114/aoms.2010.13518
Online publish date: 2010/03/09
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In our report we would like to present a case of a 60-year-old patient with epileptic seizures, affective disturbances, only mild neurocognitive disorders and cardiomyopathy. A female patient was taken to the internal ward with a tentative diagnosis of recurrent syncope. Laboratory results disclosed severe hypocalcaemia, hypoparathyroidism, and hypothyroidism. An echocardiogram revealed left ventricle systolic dysfunction. Computed tomography revealed massive intracranial calcifications typical for Fahr’s syndrome. Our patient demonstrated only mild neurological and psychiatric symptoms, but developed hypocalcaemic heart failure. It is possible that some cases of Fahr’s syndrome remain undiscovered, particularly patients taken to internal wards with mild neurological or psychiatric signs.
keywords:

Fahr’s syndrome, cardiomyopathy, attacks of unconsciousness
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