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Rev Neurol (Paris) ; 169(2): 162-5, 2013 Feb.
Article in French | MEDLINE | ID: mdl-23079855

ABSTRACT

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.


Subject(s)
Creutzfeldt-Jakob Syndrome/pathology , Diffusion Magnetic Resonance Imaging , Electroencephalography , Aged , Aphasia/etiology , Caudate Nucleus/pathology , Cerebellar Ataxia/etiology , Confusion/etiology , Creutzfeldt-Jakob Syndrome/diagnosis , Creutzfeldt-Jakob Syndrome/physiopathology , Disease Progression , Dominance, Cerebral , Fatal Outcome , Humans , Male , Paresis/etiology
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