A RARE CASE OF SECONDARY FAHR'S SYNDROME AS A SEQUELAE OF POST THYROIDECTOMY HYPOPARATHYROIDISM REPORTED TO A TERTIARY CARE HOSPITAL.

Author:

Rahim Rehan Abdul1,Sai Manga Sharanya2,Rani Sujatha3

Affiliation:

1. 2nd year MD Biochemistry Postgraduate, Osmania Medical College, Hyderabad, Telangana,India

2. Medical Student,Shadan Medical College, Hyderabad, Telangana, India.

3. Professor and head of the Department of Biochemistry, Osmania Medical College, Hyderabad,Telangana,India.

Abstract

OBJECTIVES: To emphasize the presentation, etiopathogenesis and various diagnostic findings in a case of secondary Fahr's syndrome. METHODOLOGY: A 35 year old female who had undergone total thyroidectomy 9 yrs ago due to papillary carcinoma of thyroid, presented with seizures and weakness in both lower limbs, secondary to hypoparathyroidism. Non contrast computed tomography of brain showed bilateral calcification in basal ganglia, centrum semiovale and cerebellar hemisphere. RESULT: The patient was diagnosed with Fahr's syndrome as a sequelae of post thyroidectomy hypoparathyroidsm. CONCLUSION: We recommend the follow up of blood calcium, phosphorus , PTH levels every 3 months during 1st year after Thyroidectomy and every 6 months subsequently, for the long term follow up of post -thyroidectomy patients along with routine CT scanning.

Publisher

World Wide Journals

Reference8 articles.

1. Shafaq S, Hafiz MA, Maheen A et al: Fahr’s syndrome: Literature review of current evidence. Orphanet J Rare Dis, 2013; 8: 156

2. Lee, Yoo Jin et al. “A Case of Seizure Revealing Fahr's Syndrome with Primary Hypoparathyroidism.” The American journal of case reports vol. 19 1430-1433. 1 Dec. 2018, doi:10.12659/AJCR.913382.

3. Arias MJ, González MT, Escorial MC, Marañón CA: Intracranial calcifications in the differential diagnosis of epileptic disease]. Rev Clin Esp 1991, 189(9):425.

4. Arranz PM, Ergueta MP, González SE, Marañón CA: Fahr's disease and hypocalcemic syndromes. Presentation of a clinical case. In Anales de medicina interna. (Madrid, Spain; 1992:1992–495. http://www.ncbi.nlm.nih. gov/pubmed/1420763.

5. KHAN MI, WAGUENSPACK SG, HU MI. Medical management of postsurgical hypoparathyroidism. Endocr Pract 2011; 17:18-25.

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