<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zabmedvestnik</journal-id><journal-title-group><journal-title xml:lang="ru">Забайкальский медицинский вестник</journal-title><trans-title-group xml:lang="en"><trans-title>Transbaikalian Medical Bulletin</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">1998-6173</issn><publisher><publisher-name>Читинская государственная медицинская академия</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52485/19986173_2023_3_126</article-id><article-id custom-type="elpub" pub-id-type="custom">zabmedvestnik-210</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ, ИЛЛЮСТРИРОВАННЫЕ КЛИНИЧЕСКИМ НАБЛЮДЕНИЕМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS ILLUSTRATED WITH CLINICAL CASE STUDIES</subject></subj-group></article-categories><title-group><article-title>Идиопатическая стриатопаллидодентатная кальцификация: особенности диагностики</article-title><trans-title-group xml:lang="en"><trans-title>Idiopathic striatopallidodentate calcification. Description of the clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ма-Ван-дэ</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ma-Van-de</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>672000, г. Чита., ул. Горького, 39А</p></bio><bio xml:lang="en"><p>39 A Gorkogo str., Chita, 672090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ширшов</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shirshov</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>672000, г. Чита., ул. Горького, 39А</p></bio><bio xml:lang="en"><p>39 A Gorkogo str., Chita, 672090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соболинская</surname><given-names>Ж. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sobolinskaya</surname><given-names>Zh. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>672000, г. Чита., ул. Горького, 39А</p></bio><bio xml:lang="en"><p>39 A Gorkogo str., Chita, 672090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ма-Ван-дэ</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ma-Van-de</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>672000, г. Чита., ул. Горького, 39А</p></bio><bio xml:lang="en"><p>39 A Gorkogo str., Chita, 672090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Варфоломеев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Varfolomeev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>672000, г. Чита., ул. Горького, 39А</p></bio><bio xml:lang="en"><p>39 A Gorkogo str., Chita, 672090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Читинская государственная медицинская академия» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chita State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>06</day><month>08</month><year>2024</year></pub-date><volume>0</volume><issue>3</issue><fpage>126</fpage><lpage>131</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ма-Ван-дэ А.Ю., Ширшов Ю.А., Соболинская Ж.А., Ма-Ван-дэ Ю.А., Варфоломеев А.Е., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Ма-Ван-дэ А.Ю., Ширшов Ю.А., Соболинская Ж.А., Ма-Ван-дэ Ю.А., Варфоломеев А.Е.</copyright-holder><copyright-holder xml:lang="en">Ma-Van-de A.Y., Shirshov Y.A., Sobolinskaya Z.A., Ma-Van-de Y.A., Varfolomeev A.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.zabmedvestnik.ru/jour/article/view/210">https://www.zabmedvestnik.ru/jour/article/view/210</self-uri><abstract><p>Идиопатическая стриатопаллидодентатная кальцификация (болезнь/синдром Фара, идиопатическое неатеросклеротическое обызвествление внутримозговых сосудов, идиопатический кальциноз стенок сосудов головного мозга с прогрессирующей деменцией) — это хроническое нейродегенеративное заболевание с обменным компонентом, относящееся к группе орфанных. В основе данной нозологии – отложение солей кальция и железа в стенках мелких церебральных артерий, а также непосредственно в структурах центральной нервной системы: в больших полушариях головного мозга, базальных ганглиях, мозжечке. Учитывая множественное поражение различных отделов головного мозга, клиническая картина данного заболевания полиморфна и проявляется различными симптомами (астения, координаторные и речевые нарушения, экстрапирамидный синдром), что в совокупности с редкой встречаемостью приводит к значительным трудностям в диагностике и, как следствие, к более позднему началу лечения. В данной статье проведен обзор литературы по проблеме, а также описывается клинический случай болезни Фара у молодой пациентки. Дебют заболевания сопровождался фокальной цервикальной дистонией с дальнейшим постепенным вовлечением аксиальной мускулатуры и мускулатуры верхних конечностей в течение последующих нескольких лет. </p></abstract><trans-abstract xml:lang="en"><p>Idiopathic striatopallidodentate calcification (Fahr's disease/syndrome, idiopathic non-atherosclerotic calcification of intracerebral vessels, idiopathic calcification of the walls of cerebral vessels with progressive dementia) is a chronic neurodegenerative disease with an exchange component belonging to the orphan group. This nosology is based on the deposition of calcium and iron salts in the walls of small cerebral arteries, as well as directly in the structures of the central nervous system: in the cerebral hemispheres, basal ganglia, and cerebellum. Given the multiple lesions of various parts of the brain, the clinical picture of this disease is polymorphic and manifests itself with various symptoms (asthenia, coordination and speech disorders, extrapyramidal syndrome), which, together with a rare occurrence, leads to significant difficulties in diagnosis and, as a result, to a later onset. treatment. This article presents literature data and describes a clinical case of Fahr's disease in a young patient. The debut of the disease was accompanied by focal cervical dystonia with further gradual involvement of the axial muscles and muscles of the upper extremities over the next few years.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Идиопатическая стриатопаллидодентатная кальцификация</kwd><kwd>болезнь/синдром Фара</kwd><kwd>идиопатическое неатеросклеротическое обызвествление внутримозговых сосудов</kwd><kwd>идиопатический кальциноз стенок сосудов головного мозга с прогрессирующей деменцией</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Idiopathic striatopallidodentate calcification</kwd><kwd>Fahr's disease/syndrome</kwd><kwd>idiopathic non-atherosclerotic calcification of intracerebral vessels</kwd><kwd>idiopathic calcification of cerebral vascular walls with progressive dementia</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Acou M., Vanslembrouck J., Deblaere K., Bauters W., Achten E. Fahr disease. JBR-BTR. 2008. 1. 19.</mixed-citation><mixed-citation xml:lang="en">Acou M., Vanslembrouck J., Deblaere K., Bauters W., Achten E. Fahr disease. JBR-BTR. 2008. 1. 19.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Delacour A. Ossification des capillaires du cerveau. Ann Med Psychol. 1850. 2. 458–461.</mixed-citation><mixed-citation xml:lang="en">Delacour A. Ossification des capillaires du cerveau. Ann Med Psychol. 1850. 2. 458–461.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Bamberger, Von Rokitansky K. Lehrbuch der Pathologischen Anatomie. Vienna: Wilhelm Braumuller. 1856.</mixed-citation><mixed-citation xml:lang="en">Bamberger, Von Rokitansky K. Lehrbuch der Pathologischen Anatomie. Vienna: Wilhelm Braumuller. 1856.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ferreira L. D., Mendes de Oliveira JR. The need for consensus on primary familial brain calcification nomenclature. The Journal of Neuropsychiatry and Clinical Neurosciences. 2018. 4. 291–293.</mixed-citation><mixed-citation xml:lang="en">Ferreira L. D., Mendes de Oliveira JR. The need for consensus on primary familial brain calcification nomenclature. The Journal of Neuropsychiatry and Clinical Neurosciences. 2018. 4. 291–293.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Shoback D. M., et al. Presentation of hypoparathyroidism: etiologies and clinical features. The Journal of Clinical Endocrinology &amp; Metabolism. 2016. 6. 2300–2312.</mixed-citation><mixed-citation xml:lang="en">Shoback D. M., et al. Presentation of hypoparathyroidism: etiologies and clinical features. The Journal of Clinical Endocrinology &amp; Metabolism. 2016. 6. 2300–2312.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Тищенко В. Н., Тищенко Г. В. Болезнь Фара при патологоанатомическом исследовании (случай из практики). Проблемы здоровья и экологии. 2013. 2. 146-150.</mixed-citation><mixed-citation xml:lang="en">Tishchenko V. N., Tishchenko G. V. Farah's disease in post-mortem examination (case report). Problems of health and ecology. 2013. 2. 146-150. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Иванченко Е. Н., Шеденко М. И., Спижарский Е. В., Долгановская Н.А., Кондратьева А.А. Омский психиатрический журнал. 2016. 3. 11-15.</mixed-citation><mixed-citation xml:lang="en">Ivanchenko E. N., Shedenko M. I., Spizharsky E. V., Dolganovskaya N. A., Kondratyeva A. A. Omsk psychiatric journal. 2016. 3. 11-15. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Maeda K., Idehara R., Nakamura H., Hirai A. Anticipation of familial idiopathic basal ganglia calcification? Internal Medicine Journal. 2012. 8. 987.</mixed-citation><mixed-citation xml:lang="en">Maeda K., Idehara R., Nakamura H., Hirai A. Anticipation of familial idiopathic basal ganglia calcification? Internal Medicine Journal. 2012. 8. 987.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Bruyn G. W., Bots G. T., Staal A. Familial bilateral vascular calcification in the central nervous system. Journal of Neurology, Neurosurgery, and Psychiatry. 1964. 67. 342-376.</mixed-citation><mixed-citation xml:lang="en">Bruyn G. W., Bots G. T., Staal A. Familial bilateral vascular calcification in the central nervous system. Journal of Neurology, Neurosurgery, and Psychiatry. 1964. 67. 342-376.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Zisimopoulou V., Siatouni A., Tsoukalos G., Tavernarakis A., Gatzonis S. Extensive bilateral intracranial calcifications: a case of iatrogenic hypoparathyroidism. Case Reports in Medicine. 2013.</mixed-citation><mixed-citation xml:lang="en">Zisimopoulou V., Siatouni A., Tsoukalos G., Tavernarakis A., Gatzonis S. Extensive bilateral intracranial calcifications: a case of iatrogenic hypoparathyroidism. Case Reports in Medicine. 2013.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Lester J., Zúñiga C., Díaz Set-al. Diffuse intracranial calcinosis: Fahr disease. Archives of neurology. 2006. 63. 1806-1807.</mixed-citation><mixed-citation xml:lang="en">Lester J., Zúñiga C., Díaz Set-al. Diffuse intracranial calcinosis: Fahr disease. Archives of neurology. 2006. 63. 1806-1807.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Козлов C.И., Ерофеева Л.А. Болезнь Фара. Клиническое наблюдение распространенной идиопатической кальцификации подкорковых структур, коморбидной с гипопаратиреозом. Омский психиатрический журнал. 2018. 4. 14-17.</mixed-citation><mixed-citation xml:lang="en">Kozlov S.I., Erofeeva L.A. Farah's disease. Clinical observation of widespread idiopathic calcification of subcortical structures, comorbid with hypoparathyroidism. Omsk psychiatric journal. 2018. 4. 14-17. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Гусев Е. И., Коновалов А.Н., Гехт А. Б. Неврология. Национальное руководство. М.: ГЭОТАР-Медиа. 2019. 197-200.</mixed-citation><mixed-citation xml:lang="en">Gusev E.I., Konovalov A.N., Gekht A.B. Neurology. National leadership. Moscow: GEOTAR-Media. 2019. 197-200. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Алферова В. В., Амосова Н. А., Богданов Р.Р. Клинические рекомендации. Болезнь Паркинсона, вторичный паркинсонизм и другие заболевания, проявляющиеся синдромом паркинсонизма. 2016. 25-30.</mixed-citation><mixed-citation xml:lang="en">Alferova V.V., Amosova N.A., Bogdanov R.R. Clinical guidelines. Parkinson's disease, secondary parkinsonism and other diseases that manifest parkinsonism syndrome. 2016. 25-30. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Евтушенко С. К., Евтушенко И. А. Патогенез и клинические проявления ювенильной и сенильной форм болезни Фара (научный обзор). Международный неврологический журнал. 2016. 1. 159-162.</mixed-citation><mixed-citation xml:lang="en">Evtushenko S. K., Evtushenko I. A. Pathogenesis and clinical manifestations of juvenile and senile forms of Fahr's disease (scientific review). International neurological journal. 2016. 1. 159-162. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Трухан Д. И., Лебедов О. И. Изменения органа зрения при заболеваниях внутренних органов. 2014. 170-193.</mixed-citation><mixed-citation xml:lang="en">Trukhan D. I., Lebedov O. I. Changes in the organ of vision in diseases of the internal organs. 2014. 170-193. in Russian.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Proniska E., Kulczycki J., Rovinska E., Kuran W. Abolished phosphaturic response to parathormone in adult patients with Fahr disease and its restoration after propranolol administration. Journal of Neurology. 1988. 235. 185-187.</mixed-citation><mixed-citation xml:lang="en">Proniska E., Kulczycki J., Rovinska E., Kuran W. Abolished phosphaturic response to parathormone in adult patients with Fahr disease and its restoration after propranolol administration. Journal of Neurology. 1988. 235. 185-187.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Rossi N., Morena M. Calcification of the basal ganglia and Fahr disease. Report of two clinical cases and review of the literature. Recenti Progressi in Medicina. 2009. 84. 192-198.</mixed-citation><mixed-citation xml:lang="en">Rossi N., Morena M. Calcification of the basal ganglia and Fahr disease. Report of two clinical cases and review of the literature. Recenti Progressi in Medicina. 2009. 84. 192-198.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Евтушенко С. К. Синдром болезни Фара (соматоневрологические проявления). Редкие и труднодиагностируемые заболевания нервной системы. 2003. 15-20.</mixed-citation><mixed-citation xml:lang="en">Evtushenko S.K. Farah disease syndrome (somato-neurological manifestations). Rare and difficult-to-diagnose diseases of the nervous system. 2003. 15-20. in Russian.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
