Abnormal diffusion-weighted magnetic resonance imaging in Creutzfeldt-Jakob disease following corneal transplantations

TitleAbnormal diffusion-weighted magnetic resonance imaging in Creutzfeldt-Jakob disease following corneal transplantations
Publication TypeJournal Article
Year of Publication2002
AuthorsRabinstein AA, Whiteman ML, Shebert RT
JournalArch Neurol
Volume59
Issue4
Pagination637 - 9
Date PublishedApr
ISSN0003-9942 (Print) 0003-9942 (Linking)
Accession Number11939901
Keywords*Corneal Transplantation, *Magnetic Resonance Imaging / methods, Brain / *pathology, Creutzfeldt-Jakob Syndrome / *diagnosis / pathology, Humans, Male, Middle Aged, Predictive Value of Tests
Abstract

BACKGROUND: The value of magnetic resonance imaging of the brain in the diagnosis of iatrogenic cases of Creutzfeldt-Jakob disease has been questioned. OBJECTIVE: To illustrate the value of magnetic resonance imaging of the brain in the diagnosis of iatrogenic Creutzfeldt-Jakob disease. METHODS: Case report. RESULTS: A patient with a history of 3 corneal transplantations exhibited the alien hand sign on initial examination. Diffusion-weighted magnetic resonance imaging of the brain revealed prominent cortical diffusion abnormalities. During the following months, the patient developed rapidly progressive dementia. The diagnosis of Creutzfeldt-Jakob disease was proven by brain biopsy. CONCLUSION: Brain magnetic resonance imaging, particularly diffusion-weighted magnetic resonance imaging, can be very helpful in the diagnosis of Creutzfeldt-Jakob disease, even in suspected iatrogenic cases.

URLinternal-pdf://Rabinstein - CJD-0541396993/Rabinstein - CJD.pdf
DOI
Notify Library Reference ID1294

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