PMID: 16521484Mar 9, 2006Paper

Increased asymmetric pulvinar magnetic resonance imaging signals in Creutzfeldt-Jakob disease with florid plaques following a cadaveric dura mater graft

Neuropathology : Official Journal of the Japanese Society of Neuropathology
Yoshinobu WakisakaToru Iwaki

Abstract

A 9-year-old Japanese girl received a cadaveric dura mater graft during surgery following a head injury with brain contusion. She continued to do well, but when she became 19-years-old, she gradually showed a violent character and was treated in a psychiatric hospital. Another 6 years later, 200 months after the procedure, she developed a progressive gait ataxia, which subsequently led to her death within 10 months of onset. An autopsy showed she had CJD. This patient represents an atypical case of dura-associated CJD (dCJD) with unusual clinicopathological features including the late occurrence of myoclonus, an absence of periodic synchronous discharges in the electroencephalogram, and the presence of widespread florid plaques. However, our detection of an asymmetrical increase in the MRI-derived images of pulvinar nuclei has not been previously observed in other atypical cases of dCJD. Because atypical dCJD cases share several clinicopathological features with those of vCJD, and because asymmetrical hyperintense signals in the pulvinar have been observed in some neuropathologically confirmed vCJD cases, we had some difficulty in a differential diagnosis between atypical dCJD and vCJD. This is the first atypical dCJD case show...Continue Reading

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Citations

Jan 23, 2009·Journal of Neurology·B MeissnerI Zerr
Jan 10, 2008·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Yasushi IwasakiGen Sobue
Aug 8, 2009·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Masahito YamadaHidehiro Mizusawa
Dec 1, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·R G MacfarlaneH R Jäger
May 23, 2012·Emerging Infectious Diseases·Paul BrownLawrence B Schonberger
Sep 15, 2009·AJNR. American Journal of Neuroradiology·H LeeI Prohovnik
Mar 6, 2008·Neuroimaging Clinics of North America·Ryan Wada, Walter Kucharczyk
Jun 26, 2015·Acta Neuropathologica Communications·Ignazio CaliLawrence B Schonberger
Dec 8, 2016·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Masahiro ShijoToru Iwaki

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