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A case of sporadic Creutzfeldt-Jakob disease
Wufen YANG, Yili CHEN, Sigang GUI
Chinese Journal of Alzheimer's Disease and Related Disorders ›› 2026, Vol. 9 ›› Issue (2) : 125-128.
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Abbreviation (ISO4): Chinese Journal of Alzheimer's Disease and Related Disorders
Editor in chief: Jun WANG
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A case of sporadic Creutzfeldt-Jakob disease
Creutzfeldt-Jakob disease is one of the most common diseases causing rapid progressive dementia. How to identify Creutzfeldt-Jakob disease at an early stage and reduce misdiagnosis is a challenge faced by our medical staff. This article reports the clinical characteristics and auxiliary examination results of a patient who is highly likely to have Creutzfeldt-Jakob disease and combines literature to explore methods for early identification and diagnosis of Creutzfeldt-Jakob disease.
Creutzfelldt-Jakob disease / Cognitive impairment / 14-3-3 protein
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李慧敏, 蔡宏斌, 耿雨梅, 等. 散发型克雅氏病临床诊断标志物研究进展[J]. 华中科技大学学报(医学版), 2023, 52(1):104-110.
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| [2] |
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| [3] |
辛浩琳. 散发性克雅氏病研究进展[J]. 医学理论与实践, 2022, 35(7):1105-1106,1094.
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Creutzfeldt-Jakob disease is a rare, but rapidly progressive, up to now untreatable and fatal neurodegenerative disorder. Clinical diagnosis of Creutzfeldt-Jakob disease (CJD) is difficult; however, it can be facilitated by suitable biomarkers. Aim of the present study is to compare levels of cerebrospinal fluid biomarkers (total tau protein, phosphorylated-tau protein, protein 14-3-3 and amyloid beta) in Slovak population of CJD suspect cases, retrospectively in over a 10-year period. One thousand three hundred sixty-four CSF samples from patients with suspect CJD, forming a homogenous group in terms of geographical as well as of equal transport conditions, storage and laboratory processing, were analysed. Definite diagnosis of Creutzfeldt-Jakob disease was confirmed in 101 patients with genetic form, and 60 patients with its sporadic form of the disease. Specificity of protein 14-3-3 and total tau in both forms CJD was similar (87 % for P14-3-3/85 % for total tau), sensitivity to P 14-3-3 and total tau was higher in sporadic Creutzfeldt-Jakob disease (sCJD) (90/95 %) than in genetic Creutzfeldt-Jakob disease (gCJD) (89/74 %). As expected, the total tau levels were significantly higher in CJD patients than in controls, but there was also significant difference between gCJD and sCJD (levels in gCJD were lower; p = 0.003). There was no significant difference in p-tau and Aβ 1-42 levels neither between both CJD forms nor between CJD patients and control group.
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| [5] |
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武力勇, 崔俐, 郭燕军, 等. 克-雅病中国诊断指南2021[J]. 中华神经科杂志, 2022, 55(11):1215-1224.
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利益冲突声明:所有作者在本研究中不存在任何利益冲突。
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