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Familial Creutzfeldt-Jakob disease associated with a point mutation at codon 210 of the prion protein gene.
Huang, N; Marie, S K; Kok, F; Nitrini, R.
Afiliação
  • Huang N; Behavioral and Cognitive Neurology Unit and Laboratory for Neurologic Investigations, Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Arq Neuropsiquiatr ; 59(4): 932-5, 2001 Dec.
Article em En | MEDLINE | ID: mdl-11733840
Creutzfeldt-Jakob disease (CJD), the most known human prion disease, is usually sporadic but approximately 15% of the cases are familial. To date, seven CJD cases with codon 210 mutation (GTT to ATT) have been reported in the literature. We describe a case of a 57 year-old woman who presented gait disturbances and rapidly progressive dementia, leading to death four months after onset. Electroencephalogram revealed periodic activity, diffusion-weighted magnetic resonance imaging showed hypersignal in basal ganglia, and test for 14-3-3 protein was strongly positive in the CSF. The complete prion protein gene coding region was sequenced after PCR amplification, showing a point mutation in codon 210. This is the first case of CJD with codon 210 mutation diagnosed in Brazil. We emphasize the role of genetic search for prion protein gene mutation, even in patients presenting clinical features resembling sporadic CJD.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Príons / Códon / Síndrome de Creutzfeldt-Jakob / Mutação Puntual Tipo de estudo: Risk_factors_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Arq Neuropsiquiatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Príons / Códon / Síndrome de Creutzfeldt-Jakob / Mutação Puntual Tipo de estudo: Risk_factors_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Arq Neuropsiquiatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha