Calcifications

Attended the Elderly Care departmental meeting at Truro where there was an interesting case report of Parkinson Disease diagnosed 10 years previously and who then presented with some features of Systemic Sclerosis and quite marked basal ganglia calcification on the CT.

It was an odd collection of signs and there didn't seem to be any unifying diagnosis. Fahr's disease was discussed and prompted me to find a review. (1)

There was also a discussion about when a CT brain is indicated in 'routine' Parkinson patients.

1) Manyam BV. What is and what is not 'Fahr's disease'. Parkinsonism Relat. Disord. 2005;11(2):73-80. Available at: http://www.ncbi.nlm.nih.gov/pubmed/15734663