Psychiatric manifestations in patients with Creutzfeldt-Jacobs’s disease. Challenges in neuroimaging and diagnostic concepts
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CARAUSU, Ghenadie, EREMIA, Valentina, GROSU, Oxana, ROTARU, Lilia, CHIRIȚĂ, Roxana. Psychiatric manifestations in patients with Creutzfeldt-Jacobs’s disease. Challenges in neuroimaging and diagnostic concepts. In: Bulletin of Integrative Psychiatry, 2023, nr. 3(98), pp. 89-96. ISSN 1453-7257.
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Bulletin of Integrative Psychiatry
Numărul 3(98) / 2023 / ISSN 1453-7257

Psychiatric manifestations in patients with Creutzfeldt-Jacobs’s disease. Challenges in neuroimaging and diagnostic concepts


Pag. 89-96

Carausu Ghenadie1, Eremia Valentina1, Grosu Oxana2, Rotaru Lilia2, Chiriță Roxana3
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery,
3 University of Medicine and Pharmacy “Grigore T. Popa”, Iasi
 
Proiecte:
 
Disponibil în IBN: 2 decembrie 2023


Rezumat

Background: Rapid symptom progression is one of the most important clues that a person may have Creutzfeldt-Jakob’s disease. There is no single test-or any combination of tests-that can conclusively diagnose sporadic Creutzfeldt-Jakob disease in a living person. Objectives: The aim of this article is to study some distinct features of patients with Creutzfeldt-Jacobs’s disease in order to make a differential diagnosis with other disorders. Material and Methods. It is a review of publications from the last years, using medical sites such as PubMed, Medscape, NCBI, Med bullets. A clinical case is also presented. Results. Creutzfeldt-Jakob’s disease (CJD) is the most common human form of a group of rare, fatal brain disorders known as prion diseases. Prion diseases, such as Creutzfeldt-Jakob’s disease, occur when prion protein, which is found throughout the body but whose normal function isn't yet known, begins folding into an abnormal three-dimensional shape. This shape change gradually triggers prion protein in the brain to fold into the same abnormal shape. Creutzfeldt-Jakob disease causes a type of dementia that gets worse unusually fast. More common causes of dementia, such as Alzheimer's, Lewy body dementia and fronto-temporal dementia, typically progress more slowly. Generally, there are three types of Creutzfeldt-Jakob disease: sporadic, familial and acquired. Conclusions. Creutzfeldt-Jakob’s disease is a rare disease with psychiatric symptoms who include depression, agitation, apathy, disorientation, problems with memory, thinking, planning and judgment. The clinical presentation of variant Creutzfeldt-Jakobs disease usually begins with a psychiatric prodrome, often at least 6 months before the onset of traditional neurologic symptoms.

Cuvinte-cheie
Creutzfeldt-Jacobs’s disease, prions, psychiatric symptoms, dementia