A retrospective study of Creutzfeldt-Jakob disease in North of Portugal 1993-2002: demographic, clinical and neuropathological features

Description of the demographic, clinical and neuropathological features of 11 cases of Creutzfeldt-Jakob disease (CJD). Review of the clinical and neuropathological features of patients with CJD diagnosed in hospitals in the North of Portugal between 1993 and 2002. Eleven patients were identified, 4...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2003-12, Vol.61 (4), p.950-956
Hauptverfasser: Silva, Ana Martins, Pires, Manuel Melo, Bastos Leite, Antonio J, Honavar, Mrinalini, Mendes, Alexandre, Correia, Manuel, Nora, Manuel, Silva, Mário Rui, Costa, Manuela, Guimarães, Antonio, Monteiro, Luís
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container_issue 4
container_start_page 950
container_title Arquivos de neuro-psiquiatria
container_volume 61
creator Silva, Ana Martins
Pires, Manuel Melo
Bastos Leite, Antonio J
Honavar, Mrinalini
Mendes, Alexandre
Correia, Manuel
Nora, Manuel
Silva, Mário Rui
Costa, Manuela
Guimarães, Antonio
Monteiro, Luís
description Description of the demographic, clinical and neuropathological features of 11 cases of Creutzfeldt-Jakob disease (CJD). Review of the clinical and neuropathological features of patients with CJD diagnosed in hospitals in the North of Portugal between 1993 and 2002. Eleven patients were identified, 4 females: mean age of onset of symptoms--64 years, mean duration of disease--8 months. All presented with a syndrome of progressive dementia with myoclonus, with four patients presenting with cerebellar signs. Neuropathological examination of brain at autopsy showed spongiosis and reactive gliosis associated with neuronal loss. In eight cases immunocytochemistry for prion protein (PrP) was carried out and was positive. The group of patients described represents the heterogeneity of the clinical phenotypes possible in CJD. Neuropathological examination is still indispensable to make the definitive diagnosis of the disease.
doi_str_mv 10.1590/S0004-282X2003000600012
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Age of Onset
Aged
Atrophy
Brain - pathology
Creutzfeldt-Jakob Syndrome - genetics
Creutzfeldt-Jakob Syndrome - pathology
Diagnosis, Differential
Electroencephalography
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Portugal
Prions - analysis
Retrospective Studies
Tomography, X-Ray Computed
title A retrospective study of Creutzfeldt-Jakob disease in North of Portugal 1993-2002: demographic, clinical and neuropathological features
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