Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17

OBJECTIVE: To compare the clinical features of a familial prion disease with those of frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). BACKGROUND: Prion diseases are not usually considered in the differential diagnosis of FTDP-17, since familial Creutzfeldt-Jakob disease (...

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Main Authors: Nitrini Ricardo, Silva Luís Sidônio Teixeira da, Rosemberg Sérgio, Caramelli Paulo, Carrilho Paulo Eduardo Mestrinelli, Iughetti Paula, Passos-Bueno Maria Rita, Zatz Mayana, Albrecht Stephen, LeBlanc Andrea
Format: Article
Language:English
Published: Thieme Revinter Publicações 2001-01-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200001
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author Nitrini Ricardo
Silva Luís Sidônio Teixeira da
Rosemberg Sérgio
Caramelli Paulo
Carrilho Paulo Eduardo Mestrinelli
Iughetti Paula
Passos-Bueno Maria Rita
Zatz Mayana
Albrecht Stephen
LeBlanc Andrea
author_facet Nitrini Ricardo
Silva Luís Sidônio Teixeira da
Rosemberg Sérgio
Caramelli Paulo
Carrilho Paulo Eduardo Mestrinelli
Iughetti Paula
Passos-Bueno Maria Rita
Zatz Mayana
Albrecht Stephen
LeBlanc Andrea
author_sort Nitrini Ricardo
collection DOAJ
description OBJECTIVE: To compare the clinical features of a familial prion disease with those of frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). BACKGROUND: Prion diseases are not usually considered in the differential diagnosis of FTDP-17, since familial Creutzfeldt-Jakob disease (CJD), the most common inherited prion disease, often manifests as a rapidly progressive dementia. Conversely, FTDP-17 usually has an insidious onset in the fifth decade, with abnormal behavior and parkinsonian features. METHOD: We present the clinical features of 12 patients from a family with CJD associated with a point mutation at codon 183 of the prion protein gene. RESULTS: The mean age at onset was 44.0 ± 3.7; the duration of the symptoms until death ranged from two to nine years. Behavioral disturbances were the predominant presenting symptoms. Nine patients were first seen by psychiatrists. Eight patients manifested parkinsonian signs. CONCLUSION: These clinical features bear a considerable resemblance to those described in FTDP-17.
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publishDate 2001-01-01
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-2c449de9a8ac489b898a242840dfd60a2025-08-20T03:18:38ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272001-01-01592A161164Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17Nitrini RicardoSilva Luís Sidônio Teixeira daRosemberg SérgioCaramelli PauloCarrilho Paulo Eduardo MestrinelliIughetti PaulaPassos-Bueno Maria RitaZatz MayanaAlbrecht StephenLeBlanc AndreaOBJECTIVE: To compare the clinical features of a familial prion disease with those of frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). BACKGROUND: Prion diseases are not usually considered in the differential diagnosis of FTDP-17, since familial Creutzfeldt-Jakob disease (CJD), the most common inherited prion disease, often manifests as a rapidly progressive dementia. Conversely, FTDP-17 usually has an insidious onset in the fifth decade, with abnormal behavior and parkinsonian features. METHOD: We present the clinical features of 12 patients from a family with CJD associated with a point mutation at codon 183 of the prion protein gene. RESULTS: The mean age at onset was 44.0 ± 3.7; the duration of the symptoms until death ranged from two to nine years. Behavioral disturbances were the predominant presenting symptoms. Nine patients were first seen by psychiatrists. Eight patients manifested parkinsonian signs. CONCLUSION: These clinical features bear a considerable resemblance to those described in FTDP-17.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200001prion protein mutationprion diseaseCreutzfeldt-Jakob diseasefrontotemporal dementiaparkinsonism
spellingShingle Nitrini Ricardo
Silva Luís Sidônio Teixeira da
Rosemberg Sérgio
Caramelli Paulo
Carrilho Paulo Eduardo Mestrinelli
Iughetti Paula
Passos-Bueno Maria Rita
Zatz Mayana
Albrecht Stephen
LeBlanc Andrea
Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
Arquivos de Neuro-Psiquiatria
prion protein mutation
prion disease
Creutzfeldt-Jakob disease
frontotemporal dementia
parkinsonism
title Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
title_full Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
title_fullStr Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
title_full_unstemmed Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
title_short Prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
title_sort prion disease resembling frontotemporal dementia and parkinsonism linked to chromosome 17
topic prion protein mutation
prion disease
Creutzfeldt-Jakob disease
frontotemporal dementia
parkinsonism
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200001
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