ふらつきで受診した Creutzfeldt-Jakob 病例

概要

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Creutzfeldt-Jakob disease (CJD), a degenerative condition of the central nervous system, involves rapidly progressive dementia and ataxia as yet incurable and with a 1-2 year life expectancy after onset. We report a classic case of CJD with transient nystagmus. A 60-year-old man seen for dizziness demonstrated no nystagmus but was not spontaneous and had difficulty in communicating. Suspecting central nervous disease, we recommended a neurologist. Diffusion-weighted magnetic resonance imaging (DWI) showed high signal areas in right hemispheric dominance. Electroencephalography (EEG) showed periodic synchronous discharge (PSD). Spinal fluid was not examined. Symptoms, brain MRI findings, and EEG let to the CJD diagnosis.
耳鼻咽喉科臨床学会の論文
2011-02-01