Home|Journals|Articles by Year

Directory for Medical Articles
 

Case Report

RMJ. 2017; 42(4): 587-589


Creutzfeldt-Jakob Disease (CJD) in Southeast Asia: a diagnostic challenge.

Anna Misya'il Abdul Rashid, Mohamad Syafeeq Faeez Md Noh, Fan Kee Hoo, Wan Aliaa Wan Sulaiman, Liyana Najwa Inche Mat, Hamidon Basri.


Abstract

Creutzfeldt-Jakob disease (CJD) is a rare disorder that presents with a myriad of symptoms. Early features may include pyramidal and cerebellar signs with very vague history of dementia. This makes diagnosis particularly challenging; especially when a different diagnosis is more common. Unavailability of laboratory testing in most centers also limits the diagnosis. Newer literature agrees on the reliability of neuroimaging, namely magnetic resonance imaging (MRI) and its role in providing a clear diagnosis in CJD. We report a patient presenting with dementia, pyramidal symptoms and later had myoclonic jerks. He refused lumbar puncture, and electroencephalogram (EEG) changes were not typical of CJD. Only on MRI were we able to prove his diagnosis as workup for alternative diagnoses were negative. Though there is no curative intervention, supportive treatment proves of utmost importance during the course of illness.

Key words: Creutzfeldt-Jakob disease, dementia, pyramidal signs, lumbar puncture, electroencephalogram (EEG), magnetic resonance imaging (MRI).






Full-text options


Share this Article



Online Article Submission
• ejmanager.com







eJManager.com
Review(er)s Central
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.