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MM2 cortical form of sporadic Creutzfeldt-Jakob disease without progressive dementia and akinetic mutism : A case deviating from current diagnostic criteria

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Title: MM2 cortical form of sporadic Creutzfeldt-Jakob disease without progressive dementia and akinetic mutism : A case deviating from current diagnostic criteria
Authors: Takahashi-Iwata, Ikuko Browse this author
Yabe, Ichiro Browse this author →KAKEN DB
Kudo, Akihiko Browse this author
Eguchi, Katsuya Browse this author
Wakita, Masahiro Browse this author
Shirai, Shinichi Browse this author
Matsushima, Masaaki Browse this author
Toyoshima, Takanobu Browse this author
Chiba, Susumu Browse this author
Tanikawa, Satoshi Browse this author →KAKEN DB
Tanaka, Shinya Browse this author →KAKEN DB
Satoh, Katsuya Browse this author →KAKEN DB
Kitamoto, Tetsuyuki Browse this author →KAKEN DB
Sasaki, Hidenao Browse this author →KAKEN DB
Keywords: Sporadic Creutzfeldt-Jakob disease
Corticobasal syndrome
MM2-cortical form
Issue Date: 15-May-2020
Publisher: Elsevier
Journal Title: Journal of the neurological sciences
Volume: 412
Start Page: 116759
Abstract: Sporadic Creutzfeldt-Jakob disease (sCJD) is classified into six types based on codon 129 polymorphism in the PRNP gene and the protease-resistant prion-related protein, PrP [1,2]. This classification corresponds well with the clinical course and the pathological findings. MM2-cortical type sCJD (MM2C-sCJD) is clinically characterized by slow progressive dementia, increased levels of 14-3-3 protein in the cerebrospinal fluid (CSF), and no periodic synchronous discharge (PSD) in electroencephalography [3]. We report the case of a patient presented with chronic progressive cortical symptoms. Based on the initial clinical findings, corticobasal syndrome (CBS) was suspected although he did not develop akinetic mutism during the lifetime. The postmortem pathological and anatomical findings confirmed MM2C-sCJD. As per the existing diagnostic criteria, our case was difficult to diagnose during the patient’s lifetime. Therefore, this is an important case for considering future revisions of the diagnostic criteria for MM2C-sCJD.
Rights: © 2020, Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
http://creativecommons.org/licenses/by-nc-nd/4.0/
Type: article (author version)
URI: http://hdl.handle.net/2115/81396
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 矢部 一郎

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