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Creutzfeldt-Jakob disease

Case contributed by Mathieu Deltomme
Diagnosis certain

Presentation

Loss of short-term memory and difficulty performing normal daily actions for three months.

Patient Data

Age: 75 years
Gender: Female
mri

T2-hyperintense and diffusion restrictive appearance of the frontal and parietooccipital cortex.

No lesions or edema in the white matter, basal ganglia or posterior fossa.

MR-findings matching with Creutzfeldt-Jakob disease.

Case Discussion

In this case, the cerebrospinal fluid was positive for the 14-3-3 protein and the RT-QuIC test was also positive, making the diagnosis certain.

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