Syncope as a presentation of Fahr's disease

Fahr's Disease is characterized by neurologic, psychiatric, and cognitive disorders of unknown etiology, and is also characterized by symmetric calcifications in the basal ganglia and cerebellar dentate nucleus.The most common symptom of the disease is considered to be movement disorders, both Parkinsonism and hyperkinetic movement disorders (chorea, tremor, dystonia, athetosis, oro-facial dyskinesia). The second most common mani-festation of BSPDC is cognitive impairment followed by cerebellar impairment and speech disorder. Psychiatric features (dementia, psychosis, affective disturbances), gait disorders, and sensory changes are also reported. A 32-year-old male patient presented to Emergency department due to syncope. Coincidentally, hypocalcemia and widespread calcifications in brain computerized tomography indicating Fahr’s Disease were determined. Patients with Fahr"s disease generally presents to Emergency departments with epileptic seizures. Syncope as a presentation of the disease is extremely rare. In patients with hypocalcemia and calcifications in brain computerized tomography, Fahr’s Disease must be suspected.