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...
Autores: | , , , , |
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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 |
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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 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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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 |
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language |
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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 |
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Derechos de autor 1970 Horizonte Médico (Lima) https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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Derechos de autor 1970 Horizonte Médico (Lima) https://creativecommons.org/licenses/by/4.0 |
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Universidad de San Martín de Porres. Facultad de Medicina Humana |
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Universidad de San Martín de Porres. Facultad de Medicina Humana |
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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 |
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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 |
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13.371646 |
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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).