Coexistence of Creutzfeldt‐Jakob disease, Lewy body disease, and Alzheimer's disease pathology: An autopsy case showing typical clinical features of Creutzfeldt‐Jakob disease
Identifieur interne : 002610 ( Main/Curation ); précédent : 002609; suivant : 002611Coexistence of Creutzfeldt‐Jakob disease, Lewy body disease, and Alzheimer's disease pathology: An autopsy case showing typical clinical features of Creutzfeldt‐Jakob disease
Auteurs : Takashi Haraguchi ; Seishi Terada ; Hideki Ishizu ; Kenichi Sakai ; Yasuyuki Tanabe ; Taiji Nagai ; Hiroshi Takata ; Keigo Nobukuni ; Yuetsu Ihara ; Tetsuyuki Kitamoto [Japon] ; Shigetoshi KurodaSource :
- Neuropathology [ 0919-6544 ] ; 2009-08.
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Abstract
We report here an autopsy case of sporadic Creutzfeldt‐Jakob disease (CJD) without hereditary burden and with a clinical course typical of sporadic CJD. A 77‐year old man developed memory disturbance, followed by gait disturbance and myoclonus. He died of bronchopneumonia 5 months after the disease onset. Post‐mortem examination revealed neuronal loss, astrocytosis, and patchy spongiosis in the cerebral cortex and lenticular nuclei. Synaptic‐type deposits of prion protein were present in the cerebral cortex. Additionally, Lewy bodies were observed in the cerebral cortex and substantia nigra. Furthermore, senile plaques compatible with definite Alzheimer's disease according to Consortium to Establish a Registry for Alzheimer's disease criteria and neurofibrillary changes of the limbic system consistent with Braak stage IV were found. Based on a review of the published literature, this autopsy case is very rare, and we suppose that the incidence of CJD accompanied by Lewy body disease and Alzheimer's disease is very low.
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DOI: 10.1111/j.1440-1789.2008.00964.x
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Takashi Haraguchi<affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikata‐cho, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Laboratory and Medicine, Zikei Institute, Urayasuhon‐cho, Okayama, and</mods:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neurology, National Hospital Organization Minami‐Okayama Medical Center, Hayashima‐cho, Tsukubo‐gun, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikata‐cho, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation>Le document en format XML
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code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Terada, Seishi" sort="Terada, Seishi" uniqKey="Terada S" first="Seishi" last="Terada">Seishi Terada</name><affiliation><mods:affiliation>Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikata‐cho, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Ishizu, Hideki" sort="Ishizu, Hideki" uniqKey="Ishizu H" first="Hideki" last="Ishizu">Hideki Ishizu</name><affiliation><mods:affiliation>Department of Laboratory and Medicine, Zikei Institute, Urayasuhon‐cho, Okayama, and</mods:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Sakai, Kenichi" sort="Sakai, Kenichi" uniqKey="Sakai K" first="Kenichi" last="Sakai">Kenichi Sakai</name><affiliation><mods:affiliation>Department of Neurology, National Hospital 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Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Kitamoto, Tetsuyuki" sort="Kitamoto, Tetsuyuki" uniqKey="Kitamoto T" first="Tetsuyuki" last="Kitamoto">Tetsuyuki Kitamoto</name><affiliation wicri:level="1"><mods:affiliation>Division of CJD Science and Technology, Department of Prion Research, Center for Translational and Advanced Animal Research on Human Diseases, Tohoku University Graduate School of Medicine, Seiryou‐cho, Sendai, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Division of CJD Science and Technology, Department of Prion Research, Center for Translational and Advanced Animal Research on Human Diseases, Tohoku University Graduate School of Medicine, Seiryou‐cho, Sendai</wicri:regionArea></affiliation></author><author><name sortKey="Kuroda, Shigetoshi" sort="Kuroda, Shigetoshi" uniqKey="Kuroda S" first="Shigetoshi" last="Kuroda">Shigetoshi Kuroda</name><affiliation><mods:affiliation>Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikata‐cho, Okayama,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Neuropathology</title><idno type="ISSN">0919-6544</idno><idno type="eISSN">1440-1789</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-08">2009-08</date><biblScope unit="volume">29</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="454">454</biblScope><biblScope unit="page" to="459">459</biblScope></imprint><idno type="ISSN">0919-6544</idno></series><idno type="istex">07387B8F1FECFF086718E0E1186E162164AF61FF</idno><idno type="DOI">10.1111/j.1440-1789.2008.00964.x</idno><idno type="ArticleID">NEUP964</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0919-6544</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer's disease</term><term>Creutzfeldt‐Jakob disease</term><term>Lewy body disease</term><term>neurofibrillary change</term><term>senile plaque</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report here an autopsy case of sporadic Creutzfeldt‐Jakob disease (CJD) without hereditary burden and with a clinical course typical of sporadic CJD. A 77‐year old man developed memory disturbance, followed by gait disturbance and myoclonus. He died of bronchopneumonia 5 months after the disease onset. Post‐mortem examination revealed neuronal loss, astrocytosis, and patchy spongiosis in the cerebral cortex and lenticular nuclei. Synaptic‐type deposits of prion protein were present in the cerebral cortex. Additionally, Lewy bodies were observed in the cerebral cortex and substantia nigra. Furthermore, senile plaques compatible with definite Alzheimer's disease according to Consortium to Establish a Registry for Alzheimer's disease criteria and neurofibrillary changes of the limbic system consistent with Braak stage IV were found. Based on a review of the published literature, this autopsy case is very rare, and we suppose that the incidence of CJD accompanied by Lewy body disease and Alzheimer's disease is very low.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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