[Unilateral Creutzfeld-Jakob disease: report of a probable case on electroclinical, MRI and biological criteria].

Rev Neurol (Paris)

Service de neurologie, Clermont université, université d'Auvergne, CHU Gabriel-Montpied, place Henri-Dunant, 63000 Clermont-Ferrand, France.

Published: February 2013

We report the case of a 70-year-old man who developed probable unilateral Creutzfeldt-Jakob disease. Clinically, he presented with right hemiparesis, progressive aphasia, temporospatial disorientation and cerebellar ataxia and later on, myoclonia. The MRI showed a hypersignal from the left caudate in DWI with decreased ADC. Repeated electroencephalograms showed a slow background rhythm in the left hemisphere with superimposed periodic, biphasic and triphasic sharp-wave complexes in the left temporal region. Death occurred after 5weeks. Although exceptional, unilateral Creutzfeldt-Jakob disease was retained as possible.

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http://dx.doi.org/10.1016/j.neurol.2012.07.019DOI Listing

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