A case of Creutzfeldt-Jakob disease in a patient on hemodialysis.
- Author:
Sang Heon SUH
1
;
Young Hwan CHOI
;
Chang Seong KIM
;
Joon Seok CHOI
;
Jeong Woo PARK
;
Eun Hui BAE
;
Seong Kwon MA
;
Byeong C KIM
;
Soo Wan KIM
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. skimw@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Creutzfeldt-Jakob disease;
Dialysis;
Hypertensive encephalopathy
- MeSH:
14-3-3 Proteins;
Akinetic Mutism;
Basal Ganglia;
Cerebral Cortex;
Creutzfeldt-Jakob Syndrome;
Dialysis;
Electroencephalography;
Female;
Fever;
Humans;
Hypertension;
Hypertensive Encephalopathy;
Kidney Failure, Chronic;
Magnetic Resonance Imaging;
Myoclonus;
Neurologic Manifestations;
Renal Dialysis;
Stupor
- From:Kidney Research and Clinical Practice
2012;31(1):76-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report an unusual case of probable Creutzfeldt-Jakob disease (CJD) in hemodialysis patient. A woman 59 years of age with a past history of hypertension and end-stage renal disease presented with a stuporous state preceded by rapidly progressive cognitive dysfunction, myoclonus, and akinetic mutism. At first, the cause of the altered mental status was assumed to be uremic or hypertensive encephalopathy combined with fever. Proper managements, however, did not improve the neurologic symptoms. Diffusion-weighted magnetic resonance imaging revealed bilaterally asymmetric high signal intensity in both basal ganglia and cerebral cortices. Electroencephalography showed diffuse generalized theta-to-delta range slow wave and intermittent medium-to-high voltage complexes with a characteristic triphasic pattern on both hemispheres. Cerebrospinal fluid assay for the 14-3-3 protein was positive and diagnostic of CJD.
