Seweryn Bartosz
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Natalia Leksa
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Dominika Uberman-Kluz
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Artur Szymczak
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Marek Biesiadecki
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Sabina Galiniak
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Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Institute of Medical Sciences, Medical College, University of Rzeszow, Rzeszow, Poland
Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Institute of Medical Sciences, Medical College, University of Rzeszow, Rzeszow, Poland
Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
Department of Biochemistry and General Chemistry Medical College of Rzeszów University, Rzeszów, Poland
Received: 11 April 2017 / Accepted: 15 January 2019 / Published: 30 March 2019

Abstract

Introduction. Creutzfeldt-Jakob disease (CJD) is a rare and fatal neurodegenerative disease of the central nervous system which is caused by an infectious protein called prion. Multiple forms of CJD have been classified including sporadic (more than 90% cases), familial, iatrogenic and variant type of disease. CJD, especially in its early stages, is a highly challenging illness to diagnose.

Aim. Article aims to present cases of Creutzfeldt-Jackob disease with early symptoms of rapidly progressing dementia at the initial stage of CJD.

Description of the cases. This paper describes two cases of patients with suspected CJD with a history of rapidly progressive dementia admitted to the Department of Neurology, MSWiA Hospital in Rzeszów.

Conclusion. Despite the fact that CJD is an incurable illness and there is no cure guaranteeing recovery, it is important to make the right diagnosis. Assay of 14-3-3 protein in cerebrospinal fluid is a sensitive and specific marker which is helpful in the diagnosis of CJD. The only relevant method of correctly confirming a diagnosis of this disease is by performing a brain biopsy. 

 

Cite

Bartosz S, Leksa N, Uberman-Kluz D, Szymczak A, Biesiadecki M, Galiniak S. Rapidly progressing dementia as a manifestation of the Creutzfeldt-Jakob disease: an analysis of two cases. Eur J Clin Exp Med. 2019;17(1):89–93. doi: 10.15584/ejcem.2019.1.15

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