散发克雅氏病1例报告

S. Mandjikoska, G. Horvat Pinterić
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摘要

目的:克雅氏病(Creutzfeldt-Jacob Disease, CJD)是一种罕见的进行性神经退行性疾病,也是最常见的朊病毒疾病。克雅氏病分为四种亚型:散发性(sCJD)、家族性、医源性和变异型。sCJD的临床表现以进行性痴呆、肌阵挛、视觉障碍、小脑共济失调、锥体和/或锥体外体征为特征。诊断是基于临床表现、脑电图、脑脊液分析和颅磁共振成像的结果。病例报告:一例81岁女性进行性痴呆,脑电图和磁共振成像表现为散发性。结论:目前尚无单一的sCJD诊断方法。对于疑似sCJD,首要任务是排除可治疗形式的痴呆,如脑炎或慢性脑膜炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sporadic Creutzfeldt–Jacob Disease: A case report
Purpose: Creutzfeldt–Jacob Disease (CJD) is a rare progressive neurodegenerative disorder and the most common form of prion disease. CJD is categorized into four subtypes: sporadic (sCJD), familial, iatrogenic, and variant. The clinical presentation of sCJD is characterized by progressive dementia, myoclonus, visual disturbances, cerebellar ataxia, and pyramidal and/ or extrapyramidal signs. Diagnosis is based on clinical presentation, and the results of an electroencephalogram, cerebrospinal fluid analysis, and cranial magnetic resonance imaging. Case Report: The case of an 81-yearold woman with progressive dementia and typical electroencephalogram and magnetic resonance imaging findings for sporadic is presented. Conclusion: No single diagnostic test for sCJD is available. In suspected sCJD, the first priority is to exclude treatable forms of dementia, such as encephalitis or chronic meningitis.
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