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American Journal of Neuroradiology 26:2527-2529, November-December 2005
© 2005 American Society of Neuroradiology

Case Report
BRAIN

Evaluation of Regional Cerebral Blood Flow in Fahr Disease with Schizophrenia-Like Psychosis: A Case Report

Masaru Shouyama, Yuji Kitabata, Tetsuji Kaku and Kazuhiro Shinosaki

From the Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan

Address correspondence to Masaru Shouyama, MD, Department of Neuropsychiatry, Wakayama Medical University, Kimiidera 811-1, Wakayama 641-0012, Japan

Summary: We report the case of a patient with Fahr disease presenting with schizophrenia-like psychosis for whom a technetium Tc99 methyl cysteinate dimmer brain study was used to evaluate regional blood flow. A brain single photon-emission CT study showed increased cerebral blood flow to the bilateral temporal lobes. Such perfusion abnormalities may reflect psychotic symptoms, including auditory hallucinations and delusions, which suggests a disruption of the cortico-subcortical neural circuits in psychosis.




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Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X