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진행핵상마비로 발현한 추정(probable)크로이츠펠트-야콥병

Probable Creutzfeldt-Jakob Disease Presenting as Progressive Supranuclear Palsy

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초록

Progressive supranuclear palsy (PSP) is a clinical syndrome comprising vertical supranuclear palsy, parkinsonism,postural instability, and mild dementia. Other disorders can present with similar clinical pictures. In this report wedescribe a case of Creutzfeldt-Jakob disease (CJD) presenting with the PSP and discuss which features may help toprevent misdiagnosis. To the best of our knowledge, this is the first report of CJD presenting with PSP syndrome in Korea

Abstract

Progressive supranuclear palsy (PSP) is a clinical syndrome comprising vertical supranuclear palsy, parkinsonism,postural instability, and mild dementia. Other disorders can present with similar clinical pictures. In this report wedescribe a case of Creutzfeldt-Jakob disease (CJD) presenting with the PSP and discuss which features may help toprevent misdiagnosis. To the best of our knowledge, this is the first report of CJD presenting with PSP syndrome in Korea

참고문헌 (10)

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  2. Josephs KA, "Diagnostic accuracy of progressive supra-nuclear palsy in the society for progressive supranuclear palsy brain bank", Mov Disord, 18, pp.1018~1026 (2003)
  3. Averbuch-Heller L, "Whipple’s dis-ease mimicking progressive supranuclear palsy: the diagnostic value of eye movement recording", J Neurol Neurosurg Psychiatry, 66, pp.532~535 (1999)
  4. Murialdo A, "Neurosyphilis presenting as progressive supranuclear palsy", Mov Disord, 15, pp.730~731 (2000)
  5. Alafuzoff I, "Rapidly progressive multifocal leukoencephalopathy with sub-stantial cell-mediated inflammatory response and with cognitive de-cline of non-Alzheimer type in a 75-year-old female patient", Clin Neuropathol, 18, pp.113~123 (1999)
  6. Petrovic IN, "MM2 subtype of sporadic Creutzfeldt-Jakob dis-ease may underlie the clinical presentation of progressive supranuclear palsy", J Neurol, 260, pp.1031~1036 (2013)
  7. Schroter A, "Magnetic resonance imaging in the clinical diagnosis of Creutzfeldt-Jakob disease", Arch Neurol, 57, pp.1751~1757 (2000)
  8. Kawasaki K, "Thalamic form of Creutzfeldt-Jakob disease or fatal in-somnia? Report of a sporadic case with normal prion protein genotype", Acta Neuropathol, 93, pp.317~322 (1997)
  9. Shimamura M, "A Unique case of sporadic Creutzfeldt-Jacob disease presenting as progressive supranuclear palsy", Intern Med, 42, pp.195~198 (2003)
  10. Vidailhet M, "Eye movements in parkinsonian syndromes", Ann Neurol, 35, pp.420~426 (1994)

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