Cortical Hyperintensity on Diffusion-weighted Images as the Presymptomatic Marker of Sporadic Creutzfeldt-Jakob Disease

We herein report a sporadic Creutzfeldt-Jakob disease (sCJD) patient followed from the presymptomatic phase to death. A 67-year-old woman had abnormal hyperintense cortical lesions on diffusion-weighted magnetic resonance imaging (MRI) one year before the onset. The levels of 14-3-3 protein and tota...

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Veröffentlicht in:Internal Medicine 2019/03/01, Vol.58(5), pp.727-729
Hauptverfasser: Maeda, Kengo, Sugihara, Yoshiko, Shiraishi, Tomoyuki, Hirai, Akinori, Satoh, Katsuya
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container_issue 5
container_start_page 727
container_title Internal Medicine
container_volume 58
creator Maeda, Kengo
Sugihara, Yoshiko
Shiraishi, Tomoyuki
Hirai, Akinori
Satoh, Katsuya
description We herein report a sporadic Creutzfeldt-Jakob disease (sCJD) patient followed from the presymptomatic phase to death. A 67-year-old woman had abnormal hyperintense cortical lesions on diffusion-weighted magnetic resonance imaging (MRI) one year before the onset. The levels of 14-3-3 protein and total tau protein, and findings from a real-time quaking-induced conversion test were normal at first but became abnormal after disease onset. Although there are four reports of presymptomatic sCJD identified by MRI, this is the first case report in which all three biomarkers had been assessed before and after the disease onset. MRI might be the most sensitive modality for detecting presymptomatic sCJD patients.
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source J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central; PubMed Central Open Access
subjects 14-3-3 protein
Case Report
Cortex
Creutzfeldt-Jakob disease
Diffusion
Internal medicine
Lesions
Magnetic resonance imaging
MRI
NMR
Nuclear magnetic resonance
presymptomatic
RT-QuIC
sporadic Creutzfeldt-Jakob disease
Tau protein
title Cortical Hyperintensity on Diffusion-weighted Images as the Presymptomatic Marker of Sporadic Creutzfeldt-Jakob Disease
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