Display options
Cite
Sallì M, D'Arienzo A, Bonanno M, et al. Femoral neck's fracture in Fahr's Syndrome: case report. Clin Cases Miner Bone Metab. 2017;13(3):265-267doi: 10.11138/ccmbm/2016.13.3.265.
Sallì, M., D'Arienzo, A., Bonanno, M., Morello, S., Sanfilippo, A., Mauro, G. L., & D'Arienzo, M. (2016). Femoral neck's fracture in Fahr's Syndrome: case report. Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases, 13(3), 265-267. https://doi.org/10.11138/ccmbm/2016.13.3.265
Sallì, Marcello, et al. "Femoral neck's fracture in Fahr's Syndrome: case report." Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases vol. 13,3 (2016): 265-267. doi: https://doi.org/10.11138/ccmbm/2016.13.3.265
Sallì M, D'Arienzo A, Bonanno M, Morello S, Sanfilippo A, Mauro GL, D'Arienzo M. Femoral neck's fracture in Fahr's Syndrome: case report. Clin Cases Miner Bone Metab. 2016 Sep-Dec;13(3):265-267. doi: 10.11138/ccmbm/2016.13.3.265. Epub 2017 Feb 10. PMID: 28228797; PMCID: PMC5318187.
Copy Download .nbib Format: NLM
Share it on

Clin Cases Miner Bone Metab. 2016 Sep-Dec;13(3):265-267. doi: 10.11138/ccmbm/2016.13.3.265. Epub 2017 Feb 10.

Femoral neck's fracture in Fahr's Syndrome: case report.

Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases

Marcello Sallì, Antonio D'Arienzo, Mariella Bonanno, Salvatore Morello, Antonino Sanfilippo, Giulia Letizia Mauro, Michele D'Arienzo

Affiliations

  1. Physical Medicine and Rehabilitation Department, University of Palermo, Palermo, Italy.
  2. Orthopaedics and Traumatology Department, University of Palermo, Palermo, Italy.

PMID: 28228797 PMCID: PMC5318187 DOI: 10.11138/ccmbm/2016.13.3.265

Abstract

Fahr's syndrome, also known as "Bilateral Striopallidodentate Calcinosis" (BSPDC) primitive, is a rare neurological disease characterized by the presence of idiopathic, bilateral, symmetrical and abnormal deposition of calcium in areas of the brain that control movements including the basal ganglia, dentate nuclei of the cerebellum, nuclei of thalamus and semi-oval center. We describe a case of a 76-year-old male patient underwent reduction and fixation of a subtrochanteric fracture with intramedullary nail. During post-operative rehabilitation therapists's patient management was difficult due to obvious extrapyramidal symptoms characterized by dysarthria, rigidity, bradykinesia, postural instability. A CT scan, performed for the onset of stiffness and confusion before the operation, showed: IV ventricle eumorphic and in axis; expansion in atrophic sense of supratentorial ventricular system; bilateral, diffuse and coarse calcifications of the basal ganglia in the cerebellar and occipital cortex, elements compatible with Fahr's syndrome. The patient presented repeated postural instability episodes in the upright position, with loss balance tendency and recurrent falls. Fahr's syndrome patient is a "weak" patient, which requires a multi-disciplinary approach in order to prevent the mobility reduction, to improve the condition of postural instability, thus reducing the risk of fractures using preventive measures in domestic environment.

Keywords: fracture; nail; pseudohypoparathyroidism; rehabilitation

References

  1. Mov Disord. 2001 Mar;16(2):258-64 - PubMed
  2. Parkinsonism Relat Disord. 2005 Mar;11(2):73-80 - PubMed
  3. Neurology. 1989 Mar;39(3):381-5 - PubMed
  4. N Engl J Med. 1971 Jul 8;285(2):72-7 - PubMed

Publication Types