Bhavana Koppolu, Ganesh, K. M, Padmakumar V Arayamparambil, P. P. Sarada, Garud Suresh Chandan
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引用次数: 0
摘要
克雅氏病(Creutzfeldt Jakob Disease)是一种罕见的致命性神经退行性疾病,其特征是迅速恶化的痴呆、肌阵挛性抽搐和运动性缄默。在所有人类朊病毒疾病中,该病占 90% 以上。90%以上的患者会在一年内从功能正常发展到死亡。目前还没有确切的治疗方法,因此必须将其与病毒性脑炎、自身免疫性脑炎和副肿瘤性脑炎等其他导致快速进展性痴呆的病因区分开来,后者会对适当的治疗产生反应。在以下两例病例中,我们描述了患者表现为快速进展性痴呆,最终被诊断为可能的散发性 CJD。早期诊断至关重要,因为这将使患者和家属了解疾病的过程和预后。
Creutzfeldt Jakob Disease is a rare and fatal neurodegenerative disorder characterized by rapidly worsening dementia, myoclonic jerks and akinetic mutism. It accounts for more than 90% of all human prion diseases. Over 90% of patients progress from normal function to death in under a year. There is no definitive treatment and it must be distinguished from other causes of rapidly progressive dementia such as viral encephalitis, autoimmune and paraneoplastic encephalitis which will respond to appropriate therapy. In the following 2 cases, we describe patients with presentation of rapidly progressive dementia which was finally diagnosed as Probable sporadic CJD. It is essential to make early diagnosis as it will allow patient and family to understand the course of disease and prognosis