Creutzfeldt-Jakob disease with long duration and panencephalopathic lesions: molecular analysis of one case.

Ghorayeb, I; Series, C; Parchi, P; Sawan, B; Guez, S; Laplanche, J L; Capellari, S; Gambetti, P et al. · Neurology · 1998

case_report · Level V

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Abstract

A 49-year-old woman presented with isolated aphasia followed by dementia and ataxia with a duration of 4 years. Histopathologically there was panencephalic involvement, status spongiosus, and kuru-type plaques. Molecular analysis showed heterozygosity at codon 129 in the prion protein (PrP) gene, and type 2 protease-resistant PrP. The comparison between this case and those previously reported suggests that the panencephalopathic variant of Creutzfeldt-Jakob disease (CJD) is an aspecific end-stage condition displayed by most if not all CJD variants in individual patients with an unusually prolonged course.

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