About: Genetic Creutzfeldt-Jakob disease with R208H mutation presenting as progressive supranuclear palsy     Goto   Sponge   NotDistinct   Permalink

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  • Introduction: We report a patient with genetic Creutzfeldt-Jakob disease showing the rare R208H mutation in the prion protein gene. Case description: Over a few months, a 62-year-old woman progressively developed frontal-type dementia with reduced verbal fluency, perseverative behavior, stereotypies and apathy, together with increasing akinesia, rigidity, and marked oculomotor abnormalities suggesting progressive supranuclear palsy. Cerebellar symptoms, myoclonus and generalized triphasic EEG patterns appeared only one year after the first complaints. Cerebrospinal fluid analysis revealed positive 14-3-3 protein and highly increased total tau level. Results: Neuropathological and immunohistochemical post-mortem examination confirmed the definite diagnosis of Creutzfeldt-Jakob disease. Genetic analysis demonstrated R208H mutation with valine homozygosity at codon 129 of prion protein gene. Conclusion: On one hand our observation widens the spectrum of clinical presentations of genetic prion diseases, and on the other hand supports the notion that a progressive supranuclear palsy-like clinical presentation can be associated with various neurodegenerative disorders.
  • Introduction: We report a patient with genetic Creutzfeldt-Jakob disease showing the rare R208H mutation in the prion protein gene. Case description: Over a few months, a 62-year-old woman progressively developed frontal-type dementia with reduced verbal fluency, perseverative behavior, stereotypies and apathy, together with increasing akinesia, rigidity, and marked oculomotor abnormalities suggesting progressive supranuclear palsy. Cerebellar symptoms, myoclonus and generalized triphasic EEG patterns appeared only one year after the first complaints. Cerebrospinal fluid analysis revealed positive 14-3-3 protein and highly increased total tau level. Results: Neuropathological and immunohistochemical post-mortem examination confirmed the definite diagnosis of Creutzfeldt-Jakob disease. Genetic analysis demonstrated R208H mutation with valine homozygosity at codon 129 of prion protein gene. Conclusion: On one hand our observation widens the spectrum of clinical presentations of genetic prion diseases, and on the other hand supports the notion that a progressive supranuclear palsy-like clinical presentation can be associated with various neurodegenerative disorders. (en)
Title
  • Genetic Creutzfeldt-Jakob disease with R208H mutation presenting as progressive supranuclear palsy
  • Genetic Creutzfeldt-Jakob disease with R208H mutation presenting as progressive supranuclear palsy (en)
skos:prefLabel
  • Genetic Creutzfeldt-Jakob disease with R208H mutation presenting as progressive supranuclear palsy
  • Genetic Creutzfeldt-Jakob disease with R208H mutation presenting as progressive supranuclear palsy (en)
skos:notation
  • RIV/00064190:_____/12:#0000307!RIV13-MZ0-00064190
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(GP309/09/P204), P(NT12094), Z(MSM0021620816)
http://linked.open...iv/cisloPeriodika
  • 4
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http://linked.open...aciTvurceVysledku
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  • 137896
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  • RIV/00064190:_____/12:#0000307
http://linked.open...riv/jazykVysledku
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  • CLINICAL DIAGNOSTIC-CRITERIA; progressive supranuclear palsy; prion diseases; R208H mutation (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
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  • [B32EE4AB1FD9]
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  • MOVEMENT DISORDERS
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  • 27
http://linked.open...iv/tvurceVysledku
  • Nováková, Jana
  • Rusina, Robert
  • Matěj, Radoslav
  • Keller, Otakar
  • Matějčková, Milada
  • Johanidesová, Silvie
http://linked.open...ain/vavai/riv/wos
  • 000302469000044
http://linked.open...n/vavai/riv/zamer
issn
  • 0885-3185
number of pages
http://bibframe.org/vocab/doi
  • 10.1002/mds.24002
is http://linked.open...avai/riv/vysledek of
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