Emily
Editor, Senior Moderator
Authors are from the National Prion Disease Pathology Surveillance Center (B.S.A., I.C., M.C.), Case Western Reserve University, Cleveland, OH; and Division of High-Consequence Pathogens and Pathology (R.M., L.B.S., T.H., E.B.), National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
https://n.neurology.org/content/97/17/813
Sporadic Creutzfeldt-Jakob Disease in a Very Young Person
Brian Stephen Appleby, Ryan Maddox, Lawrence B. Schonberger, Ignazio Cali, Teresa Hammett, Mark Cohen, Ermias Belay
Neurology Oct 2021, 97 (17) 813-816; DOI: 10.1212/WNL.0000000000012737
Abstract
Background and Objectives Sporadic Creutzfeldt-Jakob disease (sCJD) is the most common form of human prion disease and typically occurs in middle to late life. sCJD in early adulthood is extremely uncommon. The purpose of this report is to raise awareness of cases of sCJD in young patients that are not associated with a genetic mutation or acquired prion disease risk factors.
Methods We describe the clinical presentation, diagnostic workup, and postmortem examination of a 22-year-old man with sCJD.
Results The patient presented with a rapidly progressive neurocognitive disorder consisting of early and prominent psychiatric symptoms. CSF real-time quaking-induced conversion (RT-QuIC) was indeterminate, and brain MRI was suggestive of prion disease. Neuropathologic examination and the absence of a genetic mutation and acquired prion disease risk factors resulted in a final diagnosis of sCJD...
Conclusion Although extremely rare, sCJD can occur in young people and should be considered in the setting of rapidly progressive neuropsychiatric conditions. Postmortem examination is required to diagnose the type of prion disease and remains important to surveil for known and potentially novel acquired prion diseases.
https://n.neurology.org/content/97/17/813
Sporadic Creutzfeldt-Jakob Disease in a Very Young Person
Brian Stephen Appleby, Ryan Maddox, Lawrence B. Schonberger, Ignazio Cali, Teresa Hammett, Mark Cohen, Ermias Belay
Neurology Oct 2021, 97 (17) 813-816; DOI: 10.1212/WNL.0000000000012737
Abstract
Background and Objectives Sporadic Creutzfeldt-Jakob disease (sCJD) is the most common form of human prion disease and typically occurs in middle to late life. sCJD in early adulthood is extremely uncommon. The purpose of this report is to raise awareness of cases of sCJD in young patients that are not associated with a genetic mutation or acquired prion disease risk factors.
Methods We describe the clinical presentation, diagnostic workup, and postmortem examination of a 22-year-old man with sCJD.
Results The patient presented with a rapidly progressive neurocognitive disorder consisting of early and prominent psychiatric symptoms. CSF real-time quaking-induced conversion (RT-QuIC) was indeterminate, and brain MRI was suggestive of prion disease. Neuropathologic examination and the absence of a genetic mutation and acquired prion disease risk factors resulted in a final diagnosis of sCJD...
Conclusion Although extremely rare, sCJD can occur in young people and should be considered in the setting of rapidly progressive neuropsychiatric conditions. Postmortem examination is required to diagnose the type of prion disease and remains important to surveil for known and potentially novel acquired prion diseases.
