A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder
Background. Creutzfeldt-Jakob disease is a rare disorder of the central nervous system. Its initial diagnosis may be obscured by its variable presentation. This case report illustrates the complexity of diagnosing this disease early in the clinical course, especially when the initial symptoms may be...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2017/2735329 |
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| author | Nikhil Yegya-Raman Rehan Aziz Daniel Schneider Anthony Tobia Megan Leitch Onyi Nwobi |
| author_facet | Nikhil Yegya-Raman Rehan Aziz Daniel Schneider Anthony Tobia Megan Leitch Onyi Nwobi |
| author_sort | Nikhil Yegya-Raman |
| collection | DOAJ |
| description | Background. Creutzfeldt-Jakob disease is a rare disorder of the central nervous system. Its initial diagnosis may be obscured by its variable presentation. This case report illustrates the complexity of diagnosing this disease early in the clinical course, especially when the initial symptoms may be psychiatric. It offers a brief review of the literature and reinforces a role for consultation psychiatry services. Methods. PUBMED/MEDLINE was searched using the terms “Creutzfeldt-Jakob disease”, “psychiatric symptoms”, “conversion disorder”, “somatic symptom disorder”, “functional movement disorder”, and “functional neurologic disorder”. Case. The patient was a 64-year-old woman with no prior psychiatric history who was initially diagnosed with conversion disorder and unspecified anxiety disorder but soon thereafter was discovered to have Creutzfeldt-Jakob disease. Discussion. This case highlights the central role of psychiatric symptoms in early presentations of Creutzfeldt-Jakob disease. Still, few other cases in the literature report functional neurological symptoms as an initial sign. The consultation psychiatrist must remain alert to changing clinical symptoms, especially with uncharacteristic disease presentations. |
| format | Article |
| id | doaj-art-c87314d67c584a5da98f64cf4f50df61 |
| institution | OA Journals |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-c87314d67c584a5da98f64cf4f50df612025-08-20T02:19:45ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/27353292735329A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion DisorderNikhil Yegya-Raman0Rehan Aziz1Daniel Schneider2Anthony Tobia3Megan Leitch4Onyi Nwobi5Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USAPsychiatry at Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USANeurology at Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USAPsychiatry at Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USANeurology at Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USARutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USABackground. Creutzfeldt-Jakob disease is a rare disorder of the central nervous system. Its initial diagnosis may be obscured by its variable presentation. This case report illustrates the complexity of diagnosing this disease early in the clinical course, especially when the initial symptoms may be psychiatric. It offers a brief review of the literature and reinforces a role for consultation psychiatry services. Methods. PUBMED/MEDLINE was searched using the terms “Creutzfeldt-Jakob disease”, “psychiatric symptoms”, “conversion disorder”, “somatic symptom disorder”, “functional movement disorder”, and “functional neurologic disorder”. Case. The patient was a 64-year-old woman with no prior psychiatric history who was initially diagnosed with conversion disorder and unspecified anxiety disorder but soon thereafter was discovered to have Creutzfeldt-Jakob disease. Discussion. This case highlights the central role of psychiatric symptoms in early presentations of Creutzfeldt-Jakob disease. Still, few other cases in the literature report functional neurological symptoms as an initial sign. The consultation psychiatrist must remain alert to changing clinical symptoms, especially with uncharacteristic disease presentations.http://dx.doi.org/10.1155/2017/2735329 |
| spellingShingle | Nikhil Yegya-Raman Rehan Aziz Daniel Schneider Anthony Tobia Megan Leitch Onyi Nwobi A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder Case Reports in Psychiatry |
| title | A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder |
| title_full | A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder |
| title_fullStr | A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder |
| title_full_unstemmed | A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder |
| title_short | A Case of Sporadic Creutzfeldt-Jakob Disease Presenting as Conversion Disorder |
| title_sort | case of sporadic creutzfeldt jakob disease presenting as conversion disorder |
| url | http://dx.doi.org/10.1155/2017/2735329 |
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