TY - JOUR
T1 - Creutzfeldt-Jakob disease
T2 - A case report emphasizing the differential diagnosis
AU - Chao, Shu Ping
AU - Han, Yu Hsuan
PY - 2012/4/1
Y1 - 2012/4/1
N2 - Creutzfeldt-Jakob disease (CJD) has various clinical presentations in cognitive, behavior, sensory or motor dysfunction.
1 A male patient (80 years old) presented himself with forgetfulness, personality change and sleep disorder initially. Afterwards, he started to show many other neurological symptoms such as visual manifestation, dyspraxia, dysarthria, and myoclonic jerks. Magnetic resonance imaging (MRI) of the brain revealed the findings of cortical ribbon sign as well as basal nuclear hyperintensity lesion in both fluid attenuated inversion recovery images (FLAIR) and diffusion-weighted images (DWI). The results of electroencephalography (EEG) showed bi-lateral periodic sharp wave complexes. Deterioration in the clinical condition was rapid and relentless, progressing to a completely dependent state within 2 months. In this case report, we have illustrated clinical, laboratory, neurophysiologic, and imaging findings and details of the diagnostic procedures of the condition. We suggest that making the diagnosis of CJD is difficult early in the course of CJD.
AB - Creutzfeldt-Jakob disease (CJD) has various clinical presentations in cognitive, behavior, sensory or motor dysfunction.
1 A male patient (80 years old) presented himself with forgetfulness, personality change and sleep disorder initially. Afterwards, he started to show many other neurological symptoms such as visual manifestation, dyspraxia, dysarthria, and myoclonic jerks. Magnetic resonance imaging (MRI) of the brain revealed the findings of cortical ribbon sign as well as basal nuclear hyperintensity lesion in both fluid attenuated inversion recovery images (FLAIR) and diffusion-weighted images (DWI). The results of electroencephalography (EEG) showed bi-lateral periodic sharp wave complexes. Deterioration in the clinical condition was rapid and relentless, progressing to a completely dependent state within 2 months. In this case report, we have illustrated clinical, laboratory, neurophysiologic, and imaging findings and details of the diagnostic procedures of the condition. We suggest that making the diagnosis of CJD is difficult early in the course of CJD.
KW - Creutzfeldt-Jakob disease
KW - Dementia
KW - Rapid progressive dementia
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U2 - 10.1016/j.jecm.2012.01.002
DO - 10.1016/j.jecm.2012.01.002
M3 - Article
AN - SCOPUS:84863402730
SN - 1878-3317
VL - 4
SP - 130
EP - 132
JO - Journal of Experimental and Clinical Medicine
JF - Journal of Experimental and Clinical Medicine
IS - 2
ER -