Mahmoud Hussien Salih Daoud, Abubakr Elmotesim Abdulla Elamin and Ahmed Fathelrahman Rizgalla Mohammed*
Background: This case emphasizes the adulthood onset of PHP with the association of new pattern of brain calcification which is exclusively falx cerebri and supratentorial.
Case presentation: A 35 year old man with 17 year history of epilepsy on Carbamazepine, referred from neurosurgical department where was diagnosed with hydrocephalus complicated by secondary severe optic atrophy and underwent Ventriculo-Peritoneal shunt. Imaging revealed Falx Cerebri, Supratentorial calcification, biochemical tests showed hypocalcemia, hypophosphatemia and elevated parathyroid hormone. Patient was given Vitamin D and Calcium in order to improve the outcome.
Conclusion: Although PHP being a rare possibility especially in adult, it has to be considered in incidental meningeal calcification and to be picked up early before complications.
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