Skip to main content
Log in

Early MRI findings in Creutzfeldt-Jakob disease

  • Original Communications
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

We describe the MRI changes preceding the onset of myoclonus in two patients whose post-mortem examination confirmed the diagnosis of Creutzfeldt-Jakob disease (CJD). MRI showed changes in the striatum early in the course of CJD (2–6 months after the onset of apathy, interpreted as depression, and 1–2 months before the onset of further clinical symptoms). Only in one patient did electroencephalography record the typical triphasic sharp-waves, 1 month after MRI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Brown P, Chatala F, Gajdusek P, Gajdusek DC (1986) Creutzfeldt-Jakob disease: clinical analysis of a consecutive series of 230 neuropathologically, verified cases. Ann Neurol 20:597–602

    Article  PubMed  CAS  Google Scholar 

  2. hiofalo N, Fuentes A, Galvez S (1980) Serial EEG findings in 27 cases of Creutzfeldt-Jakob disease. Arch Neurol 37:143–145

    Article  Google Scholar 

  3. Davanipour Z, Alter M, Sobel E (1988) Creutzfeldt-Jakob disease. Neurol Clin 4:415–426

    Google Scholar 

  4. Erkinjuntti T, Sipponen JT, Iivanainen M, Ketonen L, Sulkava R, Sepponen RE (1984) Cerebral NMR and CT imaging in dementia. J Comput Assist Tomogr 8:614–618

    Article  PubMed  CAS  Google Scholar 

  5. Gaches J (1974) The electroencephalogram in genetic and transmissible dementia. In: Proceedings of the Xth International Congress of Neurology. Excepta Med Int Congr Ser ICS 319:339-347

  6. Galvez S, Cartier L (1984) Computer tomography findings in 15 cases of Creutzfeldt-Jakob disease with histologial verifications. J Neurol Neurosurg Psychiatry 47:1244–1246

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  7. Gertz HJ, Henkes H, Cervos-Navarro J (1988) Creutzfeldt-Jakob disease: correlation of MRI and neuropathologic findings. Neurology 38:1481–1482

    Article  PubMed  CAS  Google Scholar 

  8. Gibbs CJ Jr, Gajdusaek DC, Ascher DM, et al (1968) Creutzfeldt-Jakob disease (subacute spongiform encephalopathy): transmission to the chimpanzee. Science 161:388–389

    Article  PubMed  Google Scholar 

  9. Kovanen J, Erkinjuntti T, Iivanainen M, et al (1985) Cerebral MR and CT imaging in Creutzfeldt-Jakob disease. J Comput Assist Tomogr 9:125–128

    Article  PubMed  CAS  Google Scholar 

  10. Lechi A, Tedeschi F, Mancia D, et al (1983) Creutzfeldt-Jakob disease: clinical EEG and neuropathological findings in a cluster of eleven patients. Ital Neurol Sci 4:47–53

    Article  CAS  Google Scholar 

  11. Littrup PJ, Gerbarski SS (1985) MR imaging of Hallervorden-Spatz disease. J Comput Assist Tomogr 9:491–493

    Article  PubMed  CAS  Google Scholar 

  12. Manuelidis EE, Kim J, Angelo JN, Manuelidis L (1976) Serial propagation of Creutzfeldt-Jakob diseases in guinea pigs. Proc Natl Acad Sci USA 73-223–227

    Google Scholar 

  13. Manuelidis EE, Angelo JN, Gorgacz ES, Manuelidis L (1977) Transmission of Creutzfeldt-Jakob disease to Syrian hamster. Lancet I:479

    Article  Google Scholar 

  14. Masters CL, Richardson EP Jr (1978) Subacute spongiform encephalopathy (Creutzfeldt-Jakob disease): the nature and progression of spongiform change. Brain 101:333–344

    Article  PubMed  CAS  Google Scholar 

  15. Milton WJ, Atlas SW, Lavi E, Mollman JE (1991) Magnetic Resonance Imaging of Creutzfeldt-Jakob diseases. Ann Neurol 29:438–440

    Article  PubMed  CAS  Google Scholar 

  16. Pearl GS, Anderson RE (1989) Creutzfeldt-Jakob disease: high caudate signal on magnetic resonance imaging. South Med J 82:1177–1180

    Article  PubMed  CAS  Google Scholar 

  17. Tateishi J, Doi H, Sato Y, Suetsugu M, Ishii K, Kuroiwa Y (1981) Experimental transmission of human subacute spongiform encephalopathy to small rodents. III. Further transmission from three patients and distribution patterns of lesions in mice. Acta Neuropathol (Berl) 53:161–163

    Article  CAS  Google Scholar 

  18. Uchino A, Yoshinaga M, Shiokawa O, Hata H, Ohno M (1991) Serial MR imaging in Creutzfeldt-Jakob disease. Neuroradiology 33:364–367

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Onofrj, M., Fulgente, T., Gambi, D. et al. Early MRI findings in Creutzfeldt-Jakob disease. J Neurol 240, 423–426 (1993). https://doi.org/10.1007/BF00867355

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00867355

Key words

Navigation