Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features

Creuzfeldt-Jakob’s Disease is a rare neurodegenerative disorder that is included among the transmissible spongiform encephalopathies. The clinical features are those of a rapid progressive dementia with mioclonic jerks, which progresses to death in less than one year. We report the case of a 79 years old woman, with initial complaints of vertigo, visual and gait compromise, with an initial brain MRI, EEG and CSF that had no specific features of CJD. After 12 days she was again admitted to the hospital with a worsening of her symptoms, along with global spasticity, inability to walk and a further deterioration of speech and swallowing. A new EEG disclosed periodic triphasic complexes, typical of the disease. CSF had a positive 14-3-3 protein. She later evolved with mioclonic jerks, coma, multiple infectious complications and, ultimately, death 45 days after her second admission. We focus on the role of the EEG as an adjuctive eletrophysiological tool for the presumptive in vivo diagnosis of the disease.

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Main Authors: Patrícia,Coral, Germiniani,Francisco M. B., Silvado,Carlos E.
Format: Digital revista
Language:English
Published: Liga Brasileira de Epilepsia (LBE) 2005
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492005000400007
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spelling oai:scielo:S1676-264920050004000072006-08-08Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic featuresPatrícia,CoralGerminiani,Francisco M. B.Silvado,Carlos E. dementia Creutzfeldt-Jakob’s Disease prion Creuzfeldt-Jakob’s Disease is a rare neurodegenerative disorder that is included among the transmissible spongiform encephalopathies. The clinical features are those of a rapid progressive dementia with mioclonic jerks, which progresses to death in less than one year. We report the case of a 79 years old woman, with initial complaints of vertigo, visual and gait compromise, with an initial brain MRI, EEG and CSF that had no specific features of CJD. After 12 days she was again admitted to the hospital with a worsening of her symptoms, along with global spasticity, inability to walk and a further deterioration of speech and swallowing. A new EEG disclosed periodic triphasic complexes, typical of the disease. CSF had a positive 14-3-3 protein. She later evolved with mioclonic jerks, coma, multiple infectious complications and, ultimately, death 45 days after her second admission. We focus on the role of the EEG as an adjuctive eletrophysiological tool for the presumptive in vivo diagnosis of the disease.info:eu-repo/semantics/openAccessLiga Brasileira de Epilepsia (LBE)Journal of Epilepsy and Clinical Neurophysiology v.11 n.4 20052005-12-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492005000400007en10.1590/S1676-26492005000400007
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countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Patrícia,Coral
Germiniani,Francisco M. B.
Silvado,Carlos E.
spellingShingle Patrícia,Coral
Germiniani,Francisco M. B.
Silvado,Carlos E.
Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
author_facet Patrícia,Coral
Germiniani,Francisco M. B.
Silvado,Carlos E.
author_sort Patrícia,Coral
title Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
title_short Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
title_full Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
title_fullStr Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
title_full_unstemmed Creutzfeldt-Jakob’s disease: case report with emphasis on the electroencephalographic features
title_sort creutzfeldt-jakob’s disease: case report with emphasis on the electroencephalographic features
description Creuzfeldt-Jakob’s Disease is a rare neurodegenerative disorder that is included among the transmissible spongiform encephalopathies. The clinical features are those of a rapid progressive dementia with mioclonic jerks, which progresses to death in less than one year. We report the case of a 79 years old woman, with initial complaints of vertigo, visual and gait compromise, with an initial brain MRI, EEG and CSF that had no specific features of CJD. After 12 days she was again admitted to the hospital with a worsening of her symptoms, along with global spasticity, inability to walk and a further deterioration of speech and swallowing. A new EEG disclosed periodic triphasic complexes, typical of the disease. CSF had a positive 14-3-3 protein. She later evolved with mioclonic jerks, coma, multiple infectious complications and, ultimately, death 45 days after her second admission. We focus on the role of the EEG as an adjuctive eletrophysiological tool for the presumptive in vivo diagnosis of the disease.
publisher Liga Brasileira de Epilepsia (LBE)
publishDate 2005
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-26492005000400007
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