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Syndromes of amyotrophic lateral sclerosis and dementia: Relation to transmissible Creutzfeldt‐Jakob disease

Identifieur interne : 002E40 ( Main/Corpus ); précédent : 002E39; suivant : 002E41

Syndromes of amyotrophic lateral sclerosis and dementia: Relation to transmissible Creutzfeldt‐Jakob disease

Auteurs : Andres M. Salazar ; Colin L. Masters ; D. Carleton Gajdusek ; Clarence J. Gibbs Jr

Source :

RBID : ISTEX:9EEE09399FA279EAA65C9EA08BE7C35F7B01C284

Abstract

A review of over 2,000 cases of Creutzfeldt‐Jakob disease and related disorders in the literature and our own files yielded 231 cases of dementia with early lower motor neuron signs. The clinical‐pathological profiles of the 231 cases were distinctly different from those of cases of transmissible Creutzfeldt‐Jakob disease: the patients had a longer illness, and their brains lacked the typical spongiform change. Brain tissue from 33 of these patients has been inoculated intracerebrally into nonhuman primates, but only 2 atypical cases transmitted a spongiform encephalopathy; 23 have been incubating from three to twelve years and can be considered negative transmission experiments. The findings suggest that most cases of dementia associated with early amyotrophy are more closely related to classic amyotrophic lateral sclerosis than to transmissible Creutzfeldt‐Jakob disease and do not deserve the label of “amyotrophic Creutzfeldt‐Jakob disease.” When lower motor neuron involvement occurs in transmissible Creutzfeldt‐Jakob disease, it is usually late and accompanied by signs of a more fulminant cerebral and cerebellar involvement.

Url:
DOI: 10.1002/ana.410140104

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ISTEX:9EEE09399FA279EAA65C9EA08BE7C35F7B01C284

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<affiliation>Department of Pathology, University of Western Australia, Perth, Australia, perth, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">D. Carleton</namePart>
<namePart type="family">Gajdusek</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Laboratory of Central Nervous System Studies, National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD 20205</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Clarence J.</namePart>
<namePart type="family">Gibbs Jr</namePart>
<namePart type="termsOfAddress">Phd</namePart>
<affiliation>Laboratory of Central Nervous System Studies, National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD 20205</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
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<typeOfResource>text</typeOfResource>
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<publisher>Little, Brown and Company</publisher>
<place>
<placeTerm type="text">Boston</placeTerm>
</place>
<dateIssued encoding="w3cdtf">1983-07</dateIssued>
<dateCaptured encoding="w3cdtf">1982-09-09</dateCaptured>
<dateValid encoding="w3cdtf">1982-12-17</dateValid>
<copyrightDate encoding="w3cdtf">1983</copyrightDate>
</originInfo>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<internetMediaType>text/html</internetMediaType>
<extent unit="tables">4</extent>
<extent unit="references">117</extent>
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<abstract lang="en">A review of over 2,000 cases of Creutzfeldt‐Jakob disease and related disorders in the literature and our own files yielded 231 cases of dementia with early lower motor neuron signs. The clinical‐pathological profiles of the 231 cases were distinctly different from those of cases of transmissible Creutzfeldt‐Jakob disease: the patients had a longer illness, and their brains lacked the typical spongiform change. Brain tissue from 33 of these patients has been inoculated intracerebrally into nonhuman primates, but only 2 atypical cases transmitted a spongiform encephalopathy; 23 have been incubating from three to twelve years and can be considered negative transmission experiments. The findings suggest that most cases of dementia associated with early amyotrophy are more closely related to classic amyotrophic lateral sclerosis than to transmissible Creutzfeldt‐Jakob disease and do not deserve the label of “amyotrophic Creutzfeldt‐Jakob disease.” When lower motor neuron involvement occurs in transmissible Creutzfeldt‐Jakob disease, it is usually late and accompanied by signs of a more fulminant cerebral and cerebellar involvement.</abstract>
<relatedItem type="host">
<titleInfo>
<title>Annals of Neurology</title>
<subTitle>Official Journal of the American Neurological Association and the Child Neurology Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated">
<title>Ann Neurol.</title>
</titleInfo>
<genre type="Journal">journal</genre>
<subject>
<genre>article category</genre>
<topic>Special Article</topic>
</subject>
<identifier type="ISSN">0364-5134</identifier>
<identifier type="eISSN">1531-8249</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8249</identifier>
<identifier type="PublisherID">ANA</identifier>
<part>
<date>1983</date>
<detail type="volume">
<caption>vol.</caption>
<number>14</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages">
<start>17</start>
<end>26</end>
<total>10</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">9EEE09399FA279EAA65C9EA08BE7C35F7B01C284</identifier>
<identifier type="DOI">10.1002/ana.410140104</identifier>
<identifier type="ArticleID">ANA410140104</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1983 American Neurological Association</accessCondition>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Little, Brown and Company</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
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