Creutzfeldt-Jakob disease with florid plaques after cadaveric dura mater graft

Creutzfeldt-Jakob disease with florid plaques after cadaveric dura mater graft
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DOI:
10.1046/j.1440-1789.2003.00489.x
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发表时间:
2003-06-01
期刊:
影响因子:
2.3
通讯作者:
Kitamoto, T
Kitamoto, T
中科院分区:
医学4区
文献类型:
--
作者:
Mochizuki, Y;Mizutani, M;Kitamoto, T

文献摘要

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本文报告一例硬脑膜相关性克雅氏病(D-CJD)患者,在硬脑膜移植后约15年发生。朊蛋白基因分析未发现突变。D-CJD在以下方面是非典型的:(i)共济失调发作和痴呆发生之间的长时间间隔;(ii)短暂性肌阵挛的存在;和(iii)大脑中的花斑的存在。电镜下可见成束的淀粉样纤维从斑块中心放射状分布,神经突起不变性。这例D-CJD可能属于D-CJD的一个新亚型。
A patient with dura-associated Creutzfeldt-Jakob disease (D-CJD) which occurred about 15 years after a dura mater graft is reported in the present study. The prion protein gene analysis disclosed no mutation. The D-CJD was atypical in: (i), the long interval between the onset of ataxia and the occurrence of dementia; (ii), the presence of transient myoclonus; and (iii), the presence of florid plaques in the brain. The electron-microscopic findings showed bundles of amyloid filaments which radiated from the center of the plaques without degenerating neurites. This case of D-CJD may belong to a new subtype of D-CJD.