Systematic approach to diagnosing suspected Creutzfeldt-Jakob disease.

Brain stem/cerebellum Movement disorders (other than Parkinson's) Neuroimaging Variant Creutzfeldt-Jakob disease

Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
07 Dec 2023
Historique:
pmc-release: 07 12 2025
medline: 8 12 2023
pubmed: 8 12 2023
entrez: 7 12 2023
Statut: epublish

Résumé

Evaluation of rapidly progressive dementia (RPD) is usually challenging. In most cases, patients progress to dementia in weeks to months, and the differential diagnosis is broad. In this case, a woman in her 60s presented with a 1-month history of episodic vertigo, cognitive decline, ataxia and myoclonus. Cerebrospinal fluid total tau was markedly elevated, which was helpful in establishing the diagnosis and discussing prognosis/end-of-life measures with the patient's family. This case summarises a stepwise diagnostic approach for patients with RPD and highlights recent literature on biomarkers of Creutzfeldt-Jakob disease and autoimmune encephalitis.

Identifiants

pubmed: 38061853
pii: 16/12/e255174
doi: 10.1136/bcr-2023-255174
pmc: PMC10711900
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Matthew M Rode (MM)

Mayo Clinic Alix School of Medicine, Rochester, Minnesota, USA.

Christopher Itoh (C)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Santiago Martinez-Sosa (S)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Blake A Ebner (BA)

Department of Pathology, Mayo Clinic, Rochester, MN, USA.

Bryce K Chang (BK)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Eoin P Flanagan (EP)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Marcus V Pinto (MV)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA pinto.marcus@mayo.edu.

Classifications MeSH