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Paranoid delusions and cognitive impairment suggesting Fahr's disease.

机译:偏执妄想和认知障碍提示法尔氏病。

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The authors present the case of a 60-year-old woman with elaborate paranoid delusions and cognitive impairment found during a workup for atypical chest pain. Clinical evaluation revealed mild dementia, and radiography showed basal ganglia calcification consistent with Fahr's disease. She was treated with risperidone and transferred to a psychiatric inpatient unit for definitive care. Psychiatrists should consider Fahr's disease as a differential diagnosis in the evaluation of psychosis and cognitive impairment when neuroimaging reveals calcification of the basal ganglia.
机译:作者介绍了一例60岁女性,该女性在进行非典型胸痛检查时发现精心制作的偏执妄想和认知障碍。临床评估显示轻度痴呆,影像学检查显示基底神经节钙化与Fahr病相符。她接受了利培酮的治疗,并转送到精神病院接受最终治疗。当神经影像检查显示基底神经节钙化时,精神科医生应将Fahr病视为精神病和认知障碍评估的鉴别诊断。

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