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Amyloid Fibrils

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[Prion disease].

Hidehiro Mizusawa1

  • 1Department of Neurology and Neurological Science, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences.

Rinsho Shinkeigaku = Clinical Neurology
|September 17, 2011
PubMed
Summary

Human prion diseases, primarily sporadic Creutzfeldt-Jakob disease (sCJD), are identified through surveillance. Diagnostic tools like MRI and CSF analysis are crucial for detecting these rare, fatal neurological disorders.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Genetics

Context:

  • Human prion diseases encompass idiopathic, acquired, and genetic forms.
  • Surveillance identified 1,402 prion disease cases from 2,494 analyzed.
  • Sporadic CJD constitutes the majority (77%), followed by genetic (17%) and acquired (5%).

Purpose:

  • To analyze prion disease surveillance data in Japan.
  • To highlight diagnostic challenges and characteristic findings.
  • To discuss unique genetic mutations and acquired forms.

Summary:

  • Mean age of onset is late 60s; characteristic signs include brain MRI and elevated CSF 14-3-3 and tau proteins.
  • Sporadic CJD (MM1) is common in Japan, but atypical subtypes like MM2-thalamic CJD pose diagnostic difficulties.

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  • Genetic prion diseases in Japan feature unique mutations (V180I, M232R), and dura mater graft-associated CJD shows varied phenotypes.
  • Impact:

    • Diagnostic tools like EEG, MRI, genetic, CSF tests, and SPECT are vital for most prion cases.
    • Understanding atypical forms and potential iatrogenic transmission is critical.
    • International cooperation is essential for managing this intractable disease.