Marlena Broncel, Marzena Koziróg, Justyna Zabielska, Adam R. Poliwczak The most common symptom of BSPDC is considered to be movement disorders, both Parkinsonism and hyperkinetic movement disorders (chorea, tremor, dystonia, athetosis, oro-facial dyskinesia). The second most common mani- festation of BSPDC is cognitive impairment followed by cerebellar impairment and speech disorder. Psychiatric features (dementia, psychosis, affective disturbances), gait disorders, and sensory changes are also reported. Neurological disorders such as extrapyramidal symptoms, pyramidal symptoms, epileptic seizures, choreoathetosis, and glos- sopharyngeal neuralgia may also be associated with BSPDC. Diagnosis of BSPDC is based on finding pathognomonic basal ganglia calcifications in computed tomography or magnetic resonance imaging [6]. Case report We would like to report the case of a 60-year- old patient with epileptic seizures, affective disturbances, only mild neurocognitive disorders and cardiomyopathy. A female patient was taken to the internal ward with a tentative diagnosis of recurrent syncope. On admission she gave a history of hypertension, worsening of exercise tolerance, and oedema of the lower extremities. The patient also reported depressive mood and memory deterioration. The patient reported that both physical and psychiatric symptoms had developed for the last twelve months. There was no history of alcohol abuse, nicotinism, previous surgery or family history of similar illness. On admission she was alert and cooperative. Physical examination of the respiratory system, heart and abdomen did not reveal anything specific. Bilateral oedema of the lower limbs was present. An ECG examination taken on admission revealed flattened T-waves in limb leads, biphasic T-waves in precordial leads V3-V5 and prolonged QTc interval (531 ms) (Figures 1A-D). Laboratory results disclosed the following abnormalities: hypocalcaemia, hyperphospha- A B 118 Figure 1A-B. ECG findings Arch Med Sci 1, February / 2010