Disease Information for Creutzfeld-Jakob disease (Clinical Manifestations)
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Creutzfeld-Jakob disease is also known as Transmissable Spongiform Encephalopathy Prion Disease; This is a rare progressive, fatal, dementing illness caused by an infectious agent know as a prion. incidence is 1 in a million, usually peak age is 60 years [but range is 16 to 82 years]; 5-10% are familial; cases are spread by corneal transplants, dura mater allografts, and in the past human pituitary extract; Gene for normal prion protein is on chromosome 20; Normal noninfectious prion protein [PrP] is a cellular protein found onsurfaces of neurons; This is converted into a non-soluble precipitate by infection with<br>
abnormal prions; the disease is fatal; Mean duration of illness is 8 months [range 1-130 months]; Other Prion diseases include kuru, Fatal familial insomnia, Gertsmann-Staussler-Schenker Syndrome, and new variant Creutzfeld-Jakob disease; Animal diseases Include Scrape [sheep] and bovine spongiform encephalopathy [mad cow disease] ; this later can spread to humans ,---------------[Ferri]----------------A rare transmissible encephalopathy most prevalent between the ages of 50 and 70 years; Affected individuals may present with sleep disturbances, personality changes, ATAXIA; APHASIA, visual loss, weakness, muscle atrophy, MYOCLONUS, progressive dementia, and death within one year of disease onset; A familial form exhibiting autosomal dominant inheritance and a new variant CJD (variant ENCEPHALOPATHY, BOVINE SPONGIFORM) have been described; Pathological features include prominent cerebellar and cerebral cortical spongiform degeneration and the presence of PRIONS; (From N Engl J Med, 1998 Dec 31;339(27));---------- Mad cow disease causes accelerated encephalopathy variant in humans seen in younger adults--------------------<br>
Creutzfeldt Jakob Disease; Also known as : CJD; Jakob"s Disease; Jakob-Creutzfeldt Disease; Subacute Spongiform Encephalopathy ; and Variant Creutzfeldt-Jakob Disease (V-CJD); Creutzfeldt-Jakob Disease (CJD) is an extremely rare degenerative brain disorder (ie, "spongiform" encephalopathy) characterized by sudden development of rapidly progressive neurological and neuromuscular symptoms; With symptom onset, affected individuals may develop confusion, depression, behavioral changes, impaired vision, and/or impaired coordination;
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Clinical Manifestations
- Signs & Symptoms
- Dysphagia Swallowing Difficulties
- Failure to Thrive
- Rigidity/Muscle/movement
- Cramping in Extremities
- Muscle atrophy/wasting
- Muscle cramps/spasms
- Muscle stiffness/rigidity
- Pain in Extremities/Melalgias
- Stiffness in Extremities
- Alexia/dyslexia
- Altered mental status Mental status change
- Apathy/Indifference
- Apraxia/dyspraxia
- Apraxic gait ('slipping clutch'/hesitant)
- Ataxia
- Ataxia
- Ataxia, Cerebellar type
- Ataxia/Motor tremor type
- Athetosis
- Basal ganglion signs
- Behavior problems
- Bilateral abdominal reflex decreased
- Bradykinesia
- Chorea signs
- Choreoathetoid movement
- Choreoathetosis
- Clonus/bilateral ankle (sustained)
- Clumsiness/poor coordination
- CNS symptoms/signs
- Cognitive defect
- Confabulation
- Confusion/Disoriented
- Dizziness/Dizzy
- Dysarthria
- Extrapyramidal signs
- Finger to nose test abnormality
- Focal neurologic deficit
- Hemiplegic Gait
- Impaired judgement/signs
- Lower motor neuron lesion/signs
- Memory Loss in Elderly
- Movement or gait disorder/signs
- Myoclonus/Myoclonic jerks on exam
- Near recall/memory deficit/defect
- Personality change
- Rapidly progressive dementia
- Seizures
- Sensory distortion
- Short term memory loss
- Sleep disturbance
- Slow speech
- Spasms in Both Legs
- Spastic paralysis/signs
- Staggering Gait
- Stupor/poor reponse to stimulus
- Sudden unconsciousness
- Tics/sign
- Unable to tandem walk/straight line
- Agitation
- Delusions
- Destructive Behavior
- Emotional/affective lability
- Hallucination/visual
- Queer bizarre behavior/change
- Incontinent/noncognizant type
- Urinary Incontinence in Elderly
- Urine Incontinence
- Listlessness/lassitude
- Restlessness/Anxiousness
- Weakness
- Bilateral Vision Loss
- Diplopia Double vision
- Dysconjugate eye movement
- Upward gaze paralysis/sign
- Visual Problems
- Visual symptoms
- Clinical Presentation & Variations
- Disease Progression
- Course/Chronic disorder
- Course/Chronic only
- Course/Lethal
- Course/Progressive
- Course/Progressive/slowly chronic illness
- Signs & Symptoms
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