2012
DOI: 10.4103/0976-3147.102645
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Diffusion-weighted imaging: As the first diagnostic clue to Creutzfeldt Jacob disease

Abstract: We describe a case report where the diagnosis of sporadic Creutzfeldt-Jakob disease(CJD) was suspected by the magnetic resonance imaging (MRI) radiologist in a 75-year-old lady who presented with rapid cognitive decline. MRI revealed cortical T2 and FLAIR(fluid attenuation and inversion recovery) hyperintensities in bilateral fronto-parietal and temporo-occipital locations and showed significant restriction on diffusion-weighted images(DWI). In this case report, we discuss the role of MRI to suspect the diagno… Show more

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Cited by 4 publications
(4 citation statements)
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“…Less frequently, periaqueductal grey matter hyperintensity in FLAIR images has been reported, which was present on the MRI of our patient [ 22 , 23 ]. In recent years, the DWI sequence was reported as the most sensitive in CJD, and often the cortical diffusion restriction is the first clue in CJD [ 24 ]. Moreover, the disease progression can also be monitored using the DWI sequence [ 25 ].…”
Section: Discussionmentioning
confidence: 99%
“…Less frequently, periaqueductal grey matter hyperintensity in FLAIR images has been reported, which was present on the MRI of our patient [ 22 , 23 ]. In recent years, the DWI sequence was reported as the most sensitive in CJD, and often the cortical diffusion restriction is the first clue in CJD [ 24 ]. Moreover, the disease progression can also be monitored using the DWI sequence [ 25 ].…”
Section: Discussionmentioning
confidence: 99%
“…Clinical applications are also in a wide range in both diagnostic and therapeutic purposes. For the diagnostic purpose, the researches on dMRI-based detection and staging of diseases and disorders cover various targets, such as stroke, 11 infarction, 12 tumors, 13 multiple sclerosis, 14 Parkinson’s disease, 15 Alzheimer disease, 16 Creutzfeldt-Jakob disease, 17 and so on. To realize minimally invasive surgery and radiotherapy, information on the white matter fiber tracts helps planning and navigation.…”
Section: Introductionmentioning
confidence: 99%
“…Orta-ileri yaşlarda başlayan hastalık hızlı ilerleyen demans, miyokloni ve psikiyatrik bozukluklar ile kendini gösterir 1,2 . Kesin tanı beyin biyopsisi ile koyulsa da invaziv ve ciddi komplikasyonları olan bir yöntem olduğu için tanı da sıkça kullanılmamaktadır.…”
Section: Introductionunclassified
“…Sponjiform ensefalopati grubunda yer alan ve bir prion hastalığı olan Creutzfeldt-Jacob hastalığının (CJH) yıllıkgörülmesıklığı 0.5-1/ milyon'dur. Orta-ileri yaşlarda başlayan hastalık hızlı ilerleyen demans, miyokloni ve psikiyatrik bozukluklar ile kendini gösterir 1,2…”
Section: Introductionunclassified