Abstract

Fahr’s Disease is bilateral, symmetric, and idiopathic calcification in basal ganglia. Calcification is one of the three basic features. The others are psychiatric symptoms and movement disorders. Psychiatric symptoms are mood changes, psychosis, obsessions, and personality changes. These symptoms appear not only with neurological symptoms but also rarely isolated. Cummings and friends described two types of Fahr’s Disease. Presented with psychosis is “early-onset type” and typically manifested dementia and motor system disorders is “late-onset type”. In this case report we discussed a case that begun with obsession and then manic episode with psychotic symptoms, considered organic etiology because of atypical psychiatric clinical appearance, diagnosed as Fahr’s Disease as a result of neuroimaging techniques and further investigations. We think that this case will contribute to literature about psychiatric aspects of basal ganglia and approach to the psychiatric patients.

Key words: Fahr’s Disease, basal ganglia calcification, manic episode