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Basal ganglia calcification: pseudohypoparathyroidism with short fourth metacarpals
  1. André Aires Fernandes1,2,
  2. Catarina Pereira3,
  3. Margarida Almeida3,
  4. Carolina Soares1,2
  1. 1Department of Neurology, Centro Hospitalar de São João EPE, Porto, Portugal
  2. 2Department of Clinic Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Porto, Portugal
  3. 3Department of Endocrinology, Centro Hospitalar Tamega e Sousa EPE, Porto, Portugal
  1. Correspondence to Dr André Aires Fernandes, Neurology, Centro Hospitalar de São João EPE, Porto, Portugal; adaf180495{at}gmail.com

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A 20-year-old man was presented with the new onset of generalised tonicclonic seizure. His CT scan of head showed prominent calcium deposits in the striatal nuclei and thalami and less prominently in the bilateral anterior frontal white matter and right cerebellum (figure 1). He had mild intellectual disability. There had been no abnormalities recorded during pregnancy, and no family history of developmental delay, dysmorphism and endocrine disorders. He was taking levothyroxine for hypothyroidism.

Figure 1

Left: CT scan of head showing prominent calcium deposition in the striatal nuclei and thalamus. Right: Hand X-rays …

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Footnotes

  • Contributors AF contributed to conceptualisation, data curation, formal analysis, investigation, validation, writing-original draft and writing-review-editing. CP contributed to formal analysis, investigation, validation, writing-original draft and writing-review-editing. MA contributed to validation, writing-review-editing. CS contributed to conceptualisation, data curation, formal analysis, investigation, validation, writing-original draft and writing-review-editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned: externally reviewed by Mark Manford, Bath, UK.

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