Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases

The authors have analyzed clinico-neuropathologically nine cases of the definite sporadic form of Creutzfeldt-Jakob disease (CJD). All cases were female, with mean age of 62.7 years. Eighty-nine percent of the patients exhibited prodromal and initial psychiatric symptoms; definite signs of dementia,...

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Main Authors: CARLOS M. DE CASTRO COSTA, JEAN MARIE BRUCHER, CHRISTIAN LATERRE
Format: Article
Language:English
Published: Thieme Revinter Publicações 1998-09-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300003&tlng=en
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author CARLOS M. DE CASTRO COSTA
JEAN MARIE BRUCHER
CHRISTIAN LATERRE
author_facet CARLOS M. DE CASTRO COSTA
JEAN MARIE BRUCHER
CHRISTIAN LATERRE
author_sort CARLOS M. DE CASTRO COSTA
collection DOAJ
description The authors have analyzed clinico-neuropathologically nine cases of the definite sporadic form of Creutzfeldt-Jakob disease (CJD). All cases were female, with mean age of 62.7 years. Eighty-nine percent of the patients exhibited prodromal and initial psychiatric symptoms; definite signs of dementia, and myoclonus were present in 100% of cases. The EEG was abnormal in all cases and pseudoperiodic paroxysms were present in 56% of the patients. Their evolution time ranged from 3 to 19 months. Neuropathologically, brain and cerebellar atrophy, spongiosis, astrocytosis and neuronal loss were present in 100% of the patients. In 5 (56%) of these 9 cases, prion protein (PrP) amyloid plaques were detected in the cerebellum, by optical- and electronmicroscopy. There was a positive correlation between the number of plaques and the evolution time. The authors outline the similarities of their cases in the elderly with the new variant of CJD described in young people.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-aa6ca5c86c4a4eb59f5c68942ce0601c2025-08-20T03:19:02ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42271998-09-01563A35636510.1590/S0004-282X1998000300003Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite casesCARLOS M. DE CASTRO COSTA0JEAN MARIE BRUCHER1CHRISTIAN LATERRE2Universidade Federal do CearáCatholic University of LouvainCatholic University of LouvainThe authors have analyzed clinico-neuropathologically nine cases of the definite sporadic form of Creutzfeldt-Jakob disease (CJD). All cases were female, with mean age of 62.7 years. Eighty-nine percent of the patients exhibited prodromal and initial psychiatric symptoms; definite signs of dementia, and myoclonus were present in 100% of cases. The EEG was abnormal in all cases and pseudoperiodic paroxysms were present in 56% of the patients. Their evolution time ranged from 3 to 19 months. Neuropathologically, brain and cerebellar atrophy, spongiosis, astrocytosis and neuronal loss were present in 100% of the patients. In 5 (56%) of these 9 cases, prion protein (PrP) amyloid plaques were detected in the cerebellum, by optical- and electronmicroscopy. There was a positive correlation between the number of plaques and the evolution time. The authors outline the similarities of their cases in the elderly with the new variant of CJD described in young people.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300003&tlng=ensporadic Creutzfeldt-Jakob diseasedementiaperiodic EEGneuropathologyprion protein (PrP) amyloid plaqueprion disease
spellingShingle CARLOS M. DE CASTRO COSTA
JEAN MARIE BRUCHER
CHRISTIAN LATERRE
Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
Arquivos de Neuro-Psiquiatria
sporadic Creutzfeldt-Jakob disease
dementia
periodic EEG
neuropathology
prion protein (PrP) amyloid plaque
prion disease
title Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
title_full Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
title_fullStr Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
title_full_unstemmed Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
title_short Sporadic Creutzfeldt-Jakob disease: a clinico-neuropathological analysis of nine definite cases
title_sort sporadic creutzfeldt jakob disease a clinico neuropathological analysis of nine definite cases
topic sporadic Creutzfeldt-Jakob disease
dementia
periodic EEG
neuropathology
prion protein (PrP) amyloid plaque
prion disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300003&tlng=en
work_keys_str_mv AT carlosmdecastrocosta sporadiccreutzfeldtjakobdiseaseacliniconeuropathologicalanalysisofninedefinitecases
AT jeanmariebrucher sporadiccreutzfeldtjakobdiseaseacliniconeuropathologicalanalysisofninedefinitecases
AT christianlaterre sporadiccreutzfeldtjakobdiseaseacliniconeuropathologicalanalysisofninedefinitecases