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Sporadic Creutzfeldt-Jakob disease
Parnia Salehi1, Mark Clark1, Jeffer Pinzon1
1Orlando Regional Medical Center, Orlando, Florida, United States of America.
The American Journal of Emergency Medicine
|August 2, 2021
Summary
Creutzfeldt-Jakob disease (CJD) is a fatal neurological disorder. Early diagnosis combines clinical signs with MRI, EEG, and CSF analysis for prompt treatment.
Area of Science:
- Neurology
- Neuroscience
- Pathology
Background:
- Creutzfeldt-Jakob disease (CJD) is a fatal, rapidly progressive neurodegenerative disease.
- It is a transmissible spongiform encephalopathy with unknown etiology.
- CJD leads to severe neurological symptoms and a short survival period of 6-12 months.
Observation:
- A 57-year-old male presented with personality changes and memory loss.
- Physical exam revealed resting tremor, cogwheel rigidity, dysmetria, and shuffling gait.
- Neuroimaging (MRI) showed characteristic symmetric cortical and basal ganglia abnormalities.
Findings:
- Electroencephalogram (EEG) demonstrated characteristic triphasic waves.
- Cerebrospinal fluid (CSF) analysis confirmed the presence of 14-3-3 protein.
- These findings supported the diagnosis of sporadic CJD.
Implications:
- Accurate diagnosis of CJD relies on integrating clinical presentation with specific diagnostic tests.
- Early identification is crucial for patient management and understanding disease progression.
- This case highlights the diagnostic utility of a multimodal approach in suspected CJD.
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