Creutzfeldt–Jakob disease via dural and corneal transplants
A review of all published cases of iatrogenic Creutzfeldt–Jakob disease (CJD) via dural ( N=71) and corneal ( N=4) transplants is given. All but three of the dural cases were obviously due to a commercial product recalled in 1996. Two of the corneal grafts were taken from patients who had died of sp...
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| Veröffentlicht in: | Journal of the neurological sciences 1998-10, Vol.160 (2), p.128-139 |
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| container_title | Journal of the neurological sciences |
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| creator | Lang, C.J.G Heckmann, J.G Neundörfer, B |
| description | A review of all published cases of iatrogenic Creutzfeldt–Jakob disease (CJD) via dural (
N=71) and corneal (
N=4) transplants is given. All but three of the dural cases were obviously due to a commercial product recalled in 1996. Two of the corneal grafts were taken from patients who had died of sporadic CJD. These cases differed from CJD due to human growth hormone injections and the new variant. Instead, they were akin to sporadic cases, but memory loss, disorders of higher cerebral functions and extrapyramidal signs were fewer, while cerebellar abnormalities were more frequent. Progressive dysarthria and gait disorder/gait ataxia were prominent signs during the early stages, myocloni the most salient feature later. A nonperiodic EEG did not contradict the diagnosis. Using current diagnostic criteria the disease was underdiagnosed ante mortem. Utmost care is needed in selecting, harvesting and handling dural and corneal grafts to avoid inadvertent transmission of CJD. |
| doi_str_mv | 10.1016/S0022-510X(98)00226-3 |
| format | Article |
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N=71) and corneal (
N=4) transplants is given. All but three of the dural cases were obviously due to a commercial product recalled in 1996. Two of the corneal grafts were taken from patients who had died of sporadic CJD. These cases differed from CJD due to human growth hormone injections and the new variant. Instead, they were akin to sporadic cases, but memory loss, disorders of higher cerebral functions and extrapyramidal signs were fewer, while cerebellar abnormalities were more frequent. Progressive dysarthria and gait disorder/gait ataxia were prominent signs during the early stages, myocloni the most salient feature later. A nonperiodic EEG did not contradict the diagnosis. Using current diagnostic criteria the disease was underdiagnosed ante mortem. Utmost care is needed in selecting, harvesting and handling dural and corneal grafts to avoid inadvertent transmission of CJD.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/S0022-510X(98)00226-3</identifier><identifier>PMID: 9849795</identifier><identifier>CODEN: JNSCAG</identifier><language>eng</language><publisher>Shannon: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Ataxia - etiology ; Biological and medical sciences ; Child ; Cornea ; Corneal Transplantation - adverse effects ; corneal transplantations ; Creutzfeldt-Jakob Syndrome - diagnosis ; Creutzfeldt-Jakob Syndrome - epidemiology ; Creutzfeldt-Jakob Syndrome - etiology ; Creutzfeldt-Jakob Syndrome - transmission ; Creutzfeldt–Jakob disease ; Dementia ; dura ; Dura mater ; Dura Mater - transplantation ; dural transplantations ; Dysarthria - etiology ; eye transplantations ; Female ; Human Growth Hormone - adverse effects ; Human viral diseases ; Humans ; Iatrogenic Disease - epidemiology ; Iatrogenic transmission ; Infant ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Myoclonus - etiology ; Transplantation ; Viral diseases ; Viral diseases of the nervous system</subject><ispartof>Journal of the neurological sciences, 1998-10, Vol.160 (2), p.128-139</ispartof><rights>1998 Elsevier Science B.V.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-583c47d659c988bca6e8ed8a39c0321b3763cfda3eaa4f231c04fd95b35485153</citedby><cites>FETCH-LOGICAL-c420t-583c47d659c988bca6e8ed8a39c0321b3763cfda3eaa4f231c04fd95b35485153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022510X98002263$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1597459$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9849795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lang, C.J.G</creatorcontrib><creatorcontrib>Heckmann, J.G</creatorcontrib><creatorcontrib>Neundörfer, B</creatorcontrib><title>Creutzfeldt–Jakob disease via dural and corneal transplants</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>A review of all published cases of iatrogenic Creutzfeldt–Jakob disease (CJD) via dural (
N=71) and corneal (
N=4) transplants is given. All but three of the dural cases were obviously due to a commercial product recalled in 1996. Two of the corneal grafts were taken from patients who had died of sporadic CJD. These cases differed from CJD due to human growth hormone injections and the new variant. Instead, they were akin to sporadic cases, but memory loss, disorders of higher cerebral functions and extrapyramidal signs were fewer, while cerebellar abnormalities were more frequent. Progressive dysarthria and gait disorder/gait ataxia were prominent signs during the early stages, myocloni the most salient feature later. A nonperiodic EEG did not contradict the diagnosis. Using current diagnostic criteria the disease was underdiagnosed ante mortem. Utmost care is needed in selecting, harvesting and handling dural and corneal grafts to avoid inadvertent transmission of CJD.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ataxia - etiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cornea</subject><subject>Corneal Transplantation - adverse effects</subject><subject>corneal transplantations</subject><subject>Creutzfeldt-Jakob Syndrome - diagnosis</subject><subject>Creutzfeldt-Jakob Syndrome - epidemiology</subject><subject>Creutzfeldt-Jakob Syndrome - etiology</subject><subject>Creutzfeldt-Jakob Syndrome - transmission</subject><subject>Creutzfeldt–Jakob disease</subject><subject>Dementia</subject><subject>dura</subject><subject>Dura mater</subject><subject>Dura Mater - transplantation</subject><subject>dural transplantations</subject><subject>Dysarthria - etiology</subject><subject>eye transplantations</subject><subject>Female</subject><subject>Human Growth Hormone - adverse effects</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Iatrogenic Disease - epidemiology</subject><subject>Iatrogenic transmission</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myoclonus - etiology</subject><subject>Transplantation</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9LwzAYh4Moc04_wqAHET1Uk6ZpkoOIDP8y8KCCt5AmbyHatTNpB3ryO_gN_SS229DjTkl4n7y_Hw9CY4JPCSbZ2SPGSRIzgl-OpTjpH1lMt9CQCC5iJgTdRsM_ZBfthfCKMc6EkAM0kCKVXLIhOp94aJvPAkrb_Hx93-u3Oo-sC6ADRAunI9t6XUa6spGpfQXdvfG6CvNSV03YRzuFLgMcrM8Rer6-eprcxtOHm7vJ5TQ2aYKbrg01KbcZk0YKkRudgQArNJUG04TklGfUFFZT0DotEkoMTgsrWU5ZKhhhdISOVnvnvn5vITRq5oKBsisBdRsUxyRJqKQbQcIZlpzLDmQr0Pg6BA-Fmns30_5DEax6v2rpV_XylBRq6Vf1AeN1QJvPwP79Wgvt5ofruQ5Gl0Xnyrjwv5xJnrI-_mKFQWdt4cCrYBxUBqzzYBpla7ehyC_ZA5ea</recordid><startdate>19981008</startdate><enddate>19981008</enddate><creator>Lang, C.J.G</creator><creator>Heckmann, J.G</creator><creator>Neundörfer, B</creator><general>Elsevier B.V</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19981008</creationdate><title>Creutzfeldt–Jakob disease via dural and corneal transplants</title><author>Lang, C.J.G ; Heckmann, J.G ; Neundörfer, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-583c47d659c988bca6e8ed8a39c0321b3763cfda3eaa4f231c04fd95b35485153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ataxia - etiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cornea</topic><topic>Corneal Transplantation - adverse effects</topic><topic>corneal transplantations</topic><topic>Creutzfeldt-Jakob Syndrome - diagnosis</topic><topic>Creutzfeldt-Jakob Syndrome - epidemiology</topic><topic>Creutzfeldt-Jakob Syndrome - etiology</topic><topic>Creutzfeldt-Jakob Syndrome - transmission</topic><topic>Creutzfeldt–Jakob disease</topic><topic>Dementia</topic><topic>dura</topic><topic>Dura mater</topic><topic>Dura Mater - transplantation</topic><topic>dural transplantations</topic><topic>Dysarthria - etiology</topic><topic>eye transplantations</topic><topic>Female</topic><topic>Human Growth Hormone - adverse effects</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Iatrogenic Disease - epidemiology</topic><topic>Iatrogenic transmission</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myoclonus - etiology</topic><topic>Transplantation</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lang, C.J.G</creatorcontrib><creatorcontrib>Heckmann, J.G</creatorcontrib><creatorcontrib>Neundörfer, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lang, C.J.G</au><au>Heckmann, J.G</au><au>Neundörfer, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Creutzfeldt–Jakob disease via dural and corneal transplants</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>1998-10-08</date><risdate>1998</risdate><volume>160</volume><issue>2</issue><spage>128</spage><epage>139</epage><pages>128-139</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>A review of all published cases of iatrogenic Creutzfeldt–Jakob disease (CJD) via dural (
N=71) and corneal (
N=4) transplants is given. All but three of the dural cases were obviously due to a commercial product recalled in 1996. Two of the corneal grafts were taken from patients who had died of sporadic CJD. These cases differed from CJD due to human growth hormone injections and the new variant. Instead, they were akin to sporadic cases, but memory loss, disorders of higher cerebral functions and extrapyramidal signs were fewer, while cerebellar abnormalities were more frequent. Progressive dysarthria and gait disorder/gait ataxia were prominent signs during the early stages, myocloni the most salient feature later. A nonperiodic EEG did not contradict the diagnosis. Using current diagnostic criteria the disease was underdiagnosed ante mortem. Utmost care is needed in selecting, harvesting and handling dural and corneal grafts to avoid inadvertent transmission of CJD.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>9849795</pmid><doi>10.1016/S0022-510X(98)00226-3</doi><tpages>12</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Ataxia - etiology Biological and medical sciences Child Cornea Corneal Transplantation - adverse effects corneal transplantations Creutzfeldt-Jakob Syndrome - diagnosis Creutzfeldt-Jakob Syndrome - epidemiology Creutzfeldt-Jakob Syndrome - etiology Creutzfeldt-Jakob Syndrome - transmission Creutzfeldt–Jakob disease Dementia dura Dura mater Dura Mater - transplantation dural transplantations Dysarthria - etiology eye transplantations Female Human Growth Hormone - adverse effects Human viral diseases Humans Iatrogenic Disease - epidemiology Iatrogenic transmission Infant Infectious diseases Male Medical sciences Middle Aged Myoclonus - etiology Transplantation Viral diseases Viral diseases of the nervous system |
| title | Creutzfeldt–Jakob disease via dural and corneal transplants |
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