Abstract:
:Gerstmann-Sträussler-Scheinker syndrome is a rare autosomal dominant disease caused by a mutation in the prion gene, usually manifesting as progressive ataxia with late cognitive decline. A 44-year-old woman with a positive family history developed early personality and behavior changes, followed by paresthesias and ataxia, later associated with memory problems, pyramidal signs, anosognosia and very late myoclonus, spasticity, and severe dysexecutive impairment. Magnetic resonance showed caudate, mesio-frontal, and insular hyper-intensities, electroencephalography revealed generalized triphasic periodic complexes. A pathogenic P102L mutation in the prion gene was detected. Our case differed from classical Gerstmann-Sträussler-Scheinker syndrome by rapid progression, severe dementia, abnormal electroencephalography and magnetic resonance findings, which were highly suggestive of familial Creutzfeldt-Jakob disease.
journal_name
Neurocasejournal_title
Neurocaseauthors
Rusina R,Fiala J,Holada K,Matějčková M,Nováková J,Ampapa R,Koukolík F,Matěj Rdoi
10.1080/13554794.2011.654215subject
Has Abstractpub_date
2013-01-01 00:00:00pages
41-53issue
1eissn
1355-4794issn
1465-3656journal_volume
19pub_type
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