Fahrs Disease

[tumshie]

I have a 48 yr old brother who was diagnosed with Fahrs Disease several years ago. He has gradually deteriorated and is now very unsteady on his feet and has poor articulation of speech. He is on no medication and only gets a 10 minute checkup once a year from a neurologist. We have been told there are only a handful of cases in the U.K and as a result our family feels very isolated and at a loss as to what the future holds.He lives with my elderly parents and is becoming increasingly depressed and isolated. Is there anyone out there with experience of the condition?Is there any research underway? Any help gratefully received.

[BobbHilton]

Hi,
  Although its well known that its an autosomal dominant as well as a sporadic type of disease, BUt I always cast adoupt on a diagnosis of a rare disease like this esp if only one member of the faily is affected (keepin in mind that ~40-50% could be asymptomatic and I also know about the degree of penetrance of an autosomal disease could vary from one generation to another in a family)...but has other causes of calcification was ruled out by an endocrinologist? esp all the types of hypoparathyroidism?  

Is the calcification is typical "Bilateral almost symmetric calcification involving striatum, pallidum with or without deposits in dentate nucleus, thalamus and white matter"?  

If you want to find out about any research about Fahr's please try contacting

1-National Institute of Neurological Disorders and Stroke (NINDS)
31 Center Drive
Bethesda MD 20892-2540
Phone #: [phone]
800 #: 800-352-9424
e-mail: ***@****
Home page: http://www.ninds.nih.gov/

2-Parkinson's Disease - Movement Disorders Group
Neurological Institute
New York NY 10032
Phone #: [phone]
800 #: --
e-mail: ***@****

    Bob

[tumshie]

Thanks for reply. My grandmother had problems with her parathyroid so will get an endocrinologist to have a look. All help gratefully received.

[Paula428]

I, too, have recently been diagnosed withFahr's. So far, I just have ataxia of speech and I cant neurologically track. Do you know of anything that can be done. I am 60 and female/

[dclark11]

My husband has been diagnosed with Fahr's by a highly regarded specialist. We went hrough a year of hell trying to get a diagnosis from a neurologist who never would/could.here are ery specific things from the symptoms to the CT/MRI/PET pictures of calcification in the basal ganglia and cerebral cortex of the brain. I have not been able to find any support groups yet. Just know that you are not alone. It is far better to know than not. My husband was tested for every feasible variability beyond any shadow of a doubt. The syndrome is rare, and there are no positives on how to control rather than treat symptoms if necessary. My only advice is to be sure and eat a balanced diet, excercise, read, etc. Have found husband is very sensitive to metabolic changes therefore am hypervigilent about quality of food/drink intake. You are welcome to write me if you like at ***@**** )pls just note desease name in topic so I don't delete as spam.

[Paula428]

I too have fahrs. I am 61, female, and haven't spoken clearly for about 10 yrs. How old is your husband? and, your email address was blocked out. My number is 510-526-4147 in Berkeley, ca. I wish I did not know I had this since there is nothing "they can do".
I go for acupuncture (who know if it helps--this is so s-l-o-w-, exercise, and now I am working my last tax season. I have a good deal of trouble with insomnia. I do not have sensitivity to metabolic changes that I am aware of. I do have low thyroid and am now on thyroid medication.
Other than the sleep and the thyroid medication, I am healthy, have low blood pressure and am not over weight and my blood work is fine. I do have osteopenia which I believe is normal for my age and size.
Please call or write. I will try my email ***@****
Paula

[dclark11]

Hi Paula. My name is Diane Clark

So sorry I haven't written earlier. Been bogged down trying to get disablity benefits for husband, which has been like banging my head against a wall. But finally with help of contingency-based lawyer, the long debacle is over.

Ironically we lived near you in SF until late 2005. Moved up to Oregon to be near husband's family. Knew something was wrong but hadn't a clue what/why & where to seek help...etc.

My husband is 60 now. We started going to a Neurologist in 2007...and the issue was really beyond this MD's knowledge. Finally found a specialist in 2008 who put together the CATs, MRIs, & PET, plus neurophychological exam/symptoms, and had no doubt it was Fahrs.

It has slowly developed over at least 10 years or more, like you. He also has considerable problem with pronunciation/enunciation in the morning, but it gets better as the day progresses. He is unable to work, and has been for many years because of the accumulation of symptoms. Complex thought proceses are a issue, but probably like you he is very bright and sometimes his memory and insights are so sharp, it is hard to understand the illness. One thing our doctor showed us via the PET scan is that because the calcification in the basal ganglia & cerebral cortex was so intense, his brain has been making connections other ways in an attempt for the various neurons and receptors to function. he is missing the main manager and the brain/s oter active areas are working doubly hard.

You are right, there is nothing one can do that I know of. This is such a new thing. It is possible in anoher 2 generations, it may be as commonly identified as Alzeimers..who knows.

For us, it was important to keep brain tempeature normal...like don't take elongated hot tubs, or get assistance if at all possible if you have a fever. No one bothered to tell us that this was an issue until it was too late, and we went through a couple very trying times. My husband's abiity to problem-solve /think clearly is deeply affected by elevation of brain temp.

You also said you were not having metabolic sensitivity which is great....we found when Dave's food wasn't healthily balanced or he had much alcohol, it would throw off his bloodwork, He doesn't have thyroid problems, but now tends towards low blood preassure like you  (strange since he had a personal and family history of high blood preassure although not overweight).

Have left you a voicemessage with my phone number and email address. Please feel free to contact me if you want to talk. It is hard for my husband to talk about, but he'll be happy to connect me to you. I told him I was writing you. (I think you are much more cognizant of the impact this syndrome/disease has had on your life, and want to understand....he often just wants to pretend its not there and I don't blame him)

best wishes always,

Diane