creutzfeldt-jacob disease: a case report.

Authors

payam sarraf department of neurology, faculty of medicine, tehran university of medical sciences, tehran, iran.

mahsa ghajarzadeh department of neurology, brain and spinal injury research center, tehran university of medical sciences, tehran, iran.

babak salarian department of neurology, tehran university of medical sciences, tehran, iran.

abstract

creutzfeldt-jacob disease is a prion disease which has a wide range of clinical presentations. its diagnosis is not simple and clinical manifestation along with eeg, mr imaging findings and cerebrospinal fluid (csf) analysis should be considered for a definite diagnosis. a-50-year-old woman referred with cognitive impairment, myoclonic jerks, mutism and difficulty in swallowing to our clinic. eeg (electroencephalography) results showed bilaterally periodic sharp and slow-wave discharges. protein 14-3-3 in csf was detected. magnetic resonance imaging (mri) findings revealed hyperintensity of the caudate and putamen in diffusion-weighted imaging (dwi), t2 weighted (t2w) sequences and fluid-attenuated inversion-recovery (flair) images. patients who have progressive dementia should be evaluated by means of mr imaging and csf analysis for cjd specific proteins should be considered.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Creutzfeldt-Jacob Disease: a case report

Creutzfeldt-Jacob disease is a rare, neurodegenerative disease caused by a prion protein. The patients are usually between 40 and 60 years old. Most of the patients die within one year after onset of the disease. A typical case is reported. It is pointed out that such a dramatic development can cause anxiety and a feeling of inadequacy for close relatives. To avoid adverse consequences, it is i...

full text

Creutzfeldt-Jacob disease presenting as severe depression: a case report

BACKGROUND An 81 year old female presented with altered mental status after new onset of severe depression and suicidal ideation with recent psychiatric hospitalization. CASE PRESENTATION Key clinical features included muscle rigidity, prominent startle reflex, and rapidly progressing cognitive decline. Initial working hypothesis was serotonin syndrome or neuroleptic malignant syndrome but co...

full text

Creutzfeldt-Jakob disease: A case report

Background: Creutzfeldt-Jakob disease (CJD) as a life-threatening neurodegenerative disorder is not usually diagnosed in early stages of the disease because of a variety in its clinical manifestations. This study aimed to present a middle-aged woman with psychiatric symptoms who ultimately was diagnosed as a CJD case. Case presentation: This 48-year-old woman had progressive symptoms of depres...

full text

Creutzfeldt-Jacob Disease with psychiatric onset: a case report Malattia di Creutzfeldt-Jacob con presentazione psichiatrica: un caso clinico

Case report We describe the case of an elderly female patient who presented with psychotic symptoms in the absence of neurological signs and symptoms, and after systematic diagnostic evaluation eventually turned out to be a sporadic CJD case. Conclusions In clinical practice CJD should not be neglected as differential diagnosis in elderly patients with negative psychiatric history referring to ...

full text

creutzfeldt-jacob disease: first biopsy proven case in iran

a biopsy diagnosed patient with creut7,{eldt-jacob diseaseis reportedin. iran. this 53~year-old hunte'r,esented  n may 1994 to mehr hospital with typica clinical manifestations of creunfeldi-jacob disease and died 4 months later. brain biopsy revealed severe neuronal loss, spongiosis and gliosis oj cerebral cortex. e;xposureofthis hunter to the brain tissue ofanimals may explain the route of tr...

full text

Supranuclear Gaze Abnormality in Sporadic-Creutzfeldt Jacob Disease.

Sporadic Creutzfeldt-Jacob disease (sCJD) usually presents with typical clinical signs. Prodromal symptoms lasting for several weeks are followed by dementia, myoclonus, ataxia and abnormalities of vision (1). Supranuclear gaze palsies accompanying sCJD have rarely been reported. Some of these reported cases were initially diagnosed as progressive supranuclear palsy (PSP) and the diagnosis was ...

full text

My Resources

Save resource for easier access later


Journal title:
acta medica iranica

جلد ۵۲، شماره ۶، صفحات ۴۸۸-۴۸۹

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023