A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset
Creutzfeldt-Jakob disease (CJD) is an untreatable rare human prion disease characterized by rapidly progressive dementia along with various neurological features, including myoclonus and sometimes other movement disorders. The clinical course is typically insidious and rapid, leading to an early dea...
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| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/4167391 |
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| author | Ján Necpál Martin Stelzer Silvia Koščová Michal Patarák |
| author_facet | Ján Necpál Martin Stelzer Silvia Koščová Michal Patarák |
| author_sort | Ján Necpál |
| collection | DOAJ |
| description | Creutzfeldt-Jakob disease (CJD) is an untreatable rare human prion disease characterized by rapidly progressive dementia along with various neurological features, including myoclonus and sometimes other movement disorders. The clinical course is typically insidious and rapid, leading to an early death. In general, the most common form is sporadic CJD; however, Slovakia is typical for a high percentage of genetic cases. We present an unusual case report of a 65-year-old man with a sudden, stroke-like onset of motor aphasia with right-sided levodopa unresponsive parkinsonism, alien hand, and other characteristic features of corticobasal syndrome (CBS), with rapid deterioration and death on the 32nd day of the disease. Various neurodegenerative disorders are manifested with CBS as a clinical phenotype, including corticobasal degeneration (CBD), progressive supranuclear palsy, Alzheimer’s disease, and CJD. In our patient, mutation E200K and M129M polymorphism of the PRNP gene and typical immunohistochemical findings pointed to a diagnosis of CJD. The patient’s mother died of CJD many years ago. Several CBS-CJD cases were described, but the atypical stroke-like onset of CBS-CJD, an extremely rare presentation of CJD, makes our case unique worldwide. |
| format | Article |
| id | doaj-art-c1071bd8f3c744e4a1dc0cbbb51cb7e8 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-c1071bd8f3c744e4a1dc0cbbb51cb7e82025-02-03T06:07:48ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/41673914167391A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like OnsetJán Necpál0Martin Stelzer1Silvia Koščová2Michal Patarák3Department of Neurology, Zvolen Hospital, Kuzmányho nábrežie 28, 960 01 Zvolen, SlovakiaDepartment of Prion Diseases, Slovak Medical University, Limbová 14, 833 03 Bratislava, SlovakiaDepartment of Prion Diseases, Slovak Medical University, Limbová 14, 833 03 Bratislava, SlovakiaDepartment of Psychiatry, Roosevelt Hospital, Cesta k nemocnici 1, 975 56 Banská Bystrica, SlovakiaCreutzfeldt-Jakob disease (CJD) is an untreatable rare human prion disease characterized by rapidly progressive dementia along with various neurological features, including myoclonus and sometimes other movement disorders. The clinical course is typically insidious and rapid, leading to an early death. In general, the most common form is sporadic CJD; however, Slovakia is typical for a high percentage of genetic cases. We present an unusual case report of a 65-year-old man with a sudden, stroke-like onset of motor aphasia with right-sided levodopa unresponsive parkinsonism, alien hand, and other characteristic features of corticobasal syndrome (CBS), with rapid deterioration and death on the 32nd day of the disease. Various neurodegenerative disorders are manifested with CBS as a clinical phenotype, including corticobasal degeneration (CBD), progressive supranuclear palsy, Alzheimer’s disease, and CJD. In our patient, mutation E200K and M129M polymorphism of the PRNP gene and typical immunohistochemical findings pointed to a diagnosis of CJD. The patient’s mother died of CJD many years ago. Several CBS-CJD cases were described, but the atypical stroke-like onset of CBS-CJD, an extremely rare presentation of CJD, makes our case unique worldwide.http://dx.doi.org/10.1155/2016/4167391 |
| spellingShingle | Ján Necpál Martin Stelzer Silvia Koščová Michal Patarák A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset Case Reports in Neurological Medicine |
| title | A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset |
| title_full | A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset |
| title_fullStr | A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset |
| title_full_unstemmed | A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset |
| title_short | A Corticobasal Syndrome Variant of Familial Creutzfeldt-Jakob Disease with Stroke-Like Onset |
| title_sort | corticobasal syndrome variant of familial creutzfeldt jakob disease with stroke like onset |
| url | http://dx.doi.org/10.1155/2016/4167391 |
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