Fahr’s disease in an older adult: a geriatric view

Descripción del Articulo

Fahr’s disease is an unusual condition, characterized by bilateral and symmetrical intracranialcalcifications. We present the case of a 75-year-old man, who was admitted to the emergencyroom due to a biliary obstruction following a periampullary neoplasm. During his stay, the patientfell after an ep...

Descripción completa

Detalles Bibliográficos
Autores: Damián-Mucha, Milagros, Takami-Angeles , Graciela, Arroyo-Zevallos, Carla, Gamarra-Samaniego, María, Torres-Salinas, Carlos
Formato: artículo
Fecha de Publicación:2025
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Lenguaje:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/2855
Enlace del recurso:https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855
Nivel de acceso:acceso abierto
Materia:Delirium
Calcinoses
Frailty
Aged
Delirio
Calcinosis
Síndrome del Paciente Frágil
Adulto Mayor
id REVHM_c678bb633eb66d819959f52e92465280
oai_identifier_str oai:horizontemedico.usmp.edu.pe:article/2855
network_acronym_str REVHM
network_name_str Horizonte médico
repository_id_str
dc.title.none.fl_str_mv Fahr’s disease in an older adult: a geriatric view
Enfermedad de Fahr en un adulto mayor, una visión geriátrica
title Fahr’s disease in an older adult: a geriatric view
spellingShingle Fahr’s disease in an older adult: a geriatric view
Damián-Mucha, Milagros
Delirium
Calcinoses
Frailty
Aged
Delirio
Calcinosis
Síndrome del Paciente Frágil
Adulto Mayor
title_short Fahr’s disease in an older adult: a geriatric view
title_full Fahr’s disease in an older adult: a geriatric view
title_fullStr Fahr’s disease in an older adult: a geriatric view
title_full_unstemmed Fahr’s disease in an older adult: a geriatric view
title_sort Fahr’s disease in an older adult: a geriatric view
dc.creator.none.fl_str_mv Damián-Mucha, Milagros
Takami-Angeles , Graciela
Arroyo-Zevallos, Carla
Gamarra-Samaniego, María
Torres-Salinas, Carlos
author Damián-Mucha, Milagros
author_facet Damián-Mucha, Milagros
Takami-Angeles , Graciela
Arroyo-Zevallos, Carla
Gamarra-Samaniego, María
Torres-Salinas, Carlos
author_role author
author2 Takami-Angeles , Graciela
Arroyo-Zevallos, Carla
Gamarra-Samaniego, María
Torres-Salinas, Carlos
author2_role author
author
author
author
dc.subject.none.fl_str_mv Delirium
Calcinoses
Frailty
Aged
Delirio
Calcinosis
Síndrome del Paciente Frágil
Adulto Mayor
topic Delirium
Calcinoses
Frailty
Aged
Delirio
Calcinosis
Síndrome del Paciente Frágil
Adulto Mayor
description Fahr’s disease is an unusual condition, characterized by bilateral and symmetrical intracranialcalcifications. We present the case of a 75-year-old man, who was admitted to the emergencyroom due to a biliary obstruction following a periampullary neoplasm. During his stay, the patientfell after an episode of psychomotor agitation without apparent cause; therefore, it led to acomputed tomography (CT) scan of the brain, which revealed bilateral calcified lesions in the basalnuclei and globus pallidus. The disease was managed exclusively, but there were shortcomingsin the integrated approach to the older adult. Subsequently, during the comprehensive geriatricassessment, it was detected that the was a frail elderly patient, with acquired deconditioning,malnutrition, social vulnerability, and caregiver overload.This suggests that the approach to frail older adult patients in hospitalization areas is alarminglyinsufficient and is reflected in a critical gap in the training and development of specializedgeriatric practices. The lack of adequate knowledge about the complexities and specific needsof this vulnerable population results in suboptimal care, prolonged hospital stays, and anincrease in complication and readmission rates, not only due to the disease but also because of theoverlooked social context. This deficiency highlights the urgent need to prioritize the comprehensivemanagement of older adults across all specialties and geriatrics, promoting more robust training forhealthcare professionals and the development of specific protocols that ensure integrated, safe, anddignified care.
publishDate 2025
dc.date.none.fl_str_mv 2025-03-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855
10.24265/horizmed.2025.v25n1.14
url https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855
identifier_str_mv 10.24265/horizmed.2025.v25n1.14
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2120
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2153
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2178
dc.rights.none.fl_str_mv Derechos de autor 1970 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 1970 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/xml
text/html
dc.publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
dc.source.none.fl_str_mv Horizonte Médico (Lima); Vol. 25 No. 1 (2025): Enero-Marzo; e2855
Horizonte Médico (Lima); Vol. 25 Núm. 1 (2025): Enero-Marzo; e2855
Horizonte Médico (Lima); v. 25 n. 1 (2025): Enero-Marzo; e2855
2227-3530
1727-558X
reponame:Horizonte médico
instname:Universidad de San Martín de Porres
instacron:USMP
instname_str Universidad de San Martín de Porres
instacron_str USMP
institution USMP
reponame_str Horizonte médico
collection Horizonte médico
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1845989103791767552
spelling Fahr’s disease in an older adult: a geriatric viewEnfermedad de Fahr en un adulto mayor, una visión geriátricaDamián-Mucha, Milagros Takami-Angeles , Graciela Arroyo-Zevallos, CarlaGamarra-Samaniego, María Torres-Salinas, Carlos DeliriumCalcinosesFrailtyAgedDelirio Calcinosis Síndrome del Paciente Frágil Adulto MayorFahr’s disease is an unusual condition, characterized by bilateral and symmetrical intracranialcalcifications. We present the case of a 75-year-old man, who was admitted to the emergencyroom due to a biliary obstruction following a periampullary neoplasm. During his stay, the patientfell after an episode of psychomotor agitation without apparent cause; therefore, it led to acomputed tomography (CT) scan of the brain, which revealed bilateral calcified lesions in the basalnuclei and globus pallidus. The disease was managed exclusively, but there were shortcomingsin the integrated approach to the older adult. Subsequently, during the comprehensive geriatricassessment, it was detected that the was a frail elderly patient, with acquired deconditioning,malnutrition, social vulnerability, and caregiver overload.This suggests that the approach to frail older adult patients in hospitalization areas is alarminglyinsufficient and is reflected in a critical gap in the training and development of specializedgeriatric practices. The lack of adequate knowledge about the complexities and specific needsof this vulnerable population results in suboptimal care, prolonged hospital stays, and anincrease in complication and readmission rates, not only due to the disease but also because of theoverlooked social context. This deficiency highlights the urgent need to prioritize the comprehensivemanagement of older adults across all specialties and geriatrics, promoting more robust training forhealthcare professionals and the development of specific protocols that ensure integrated, safe, anddignified care.La enfermedad de Fahr es un padecimiento inusual, caracterizado por calcificaciones intracraneales simétricas y bilaterales. Se presenta el caso de un adulto mayor de 75 años que ingresó a la emergencia por un cuadro obstructivo biliar subsecuente a una neoplasia periampular. Durante su estancia, tuvo una caída tras un episodio de agitación psicomotriz sin causa aparente, por lo que se decidió realizar una tomografía cerebral, en la que se evidenciaron lesiones cálcicas bilaterales en los núcleos de la base y globus pallidus. Se tuvo un manejo exclusivo de la enfermedad,pero existieron falencias en el abordaje integral del adulto mayor. Posteriormente, durante la valoración geriátrica integral, se detectó que el paciente era a un adulto mayor frágil, con desacondicionamiento adquirido, desnutrición, vulnerabilidad social y sobrecarga del cuidador.Esto sugiere que el abordaje del paciente adulto mayor frágil en las áreas de hospitalización es alarmantemente insuficiente y se ve reflejado en un vacío crítico en la formación y el desarrollo de prácticas geriátricas especializadas. La falta de conocimiento adecuado sobre las complejidades y necesidades específicas de esta población vulnerable da como resultados una atención subóptima, estancias hospitalarias prolongadas y un incremento en las tasas de complicaciones y readmisiones, no solo por la enfermedad, sino por el contexto social inobservado. Esta deficiencia resalta la urgente necesidad de priorizar el manejo conjunto de los adultos mayores por todas las especialidades y la geriatría, promoviendo una capacitación más robusta para los profesionales de salud y el desarrollo de protocolos específicos que garanticen una atención integral, segura y digna.Universidad de San Martín de Porres. Facultad de Medicina Humana2025-03-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmltext/htmlhttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/285510.24265/horizmed.2025.v25n1.14Horizonte Médico (Lima); Vol. 25 No. 1 (2025): Enero-Marzo; e2855Horizonte Médico (Lima); Vol. 25 Núm. 1 (2025): Enero-Marzo; e2855Horizonte Médico (Lima); v. 25 n. 1 (2025): Enero-Marzo; e28552227-35301727-558Xreponame:Horizonte médicoinstname:Universidad de San Martín de Porresinstacron:USMPspahttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2120https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2153https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2855/2178Derechos de autor 1970 Horizonte Médico (Lima)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:horizontemedico.usmp.edu.pe:article/28552025-03-12T16:30:40Z
score 13.371646
Nota importante:
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).