Idiopathic basal ganglia calcification presenting as hypomania

A sixty-four-year-old lady manifested a hypomanic psychosis and later developed features of a subcortical dementia and movement disorders of Parkinsonism and chorea. Computerized tomography revealed bilateral basal ganglia calcification. No evidence of parathyroid disorder or any other cause for the calcification was present. There has been only one previously reported case of organic mood disorder of a manic type presentation of idiopathic basal ganglia calcification (IBGC). The oldest reported age of onset of IBGC presenting with psychosis is 53 years and with dementia is 68 years.