Increased asymmetric pulvinar magnetic resonance imaging signals in Creutzfeldt-Jakob disease with florid plaques following a cadaveric dura mater graft

Yoshinobu Wakisaka, Naohiko Santa, Katsumi Doh-ura, Tetsuyuki Kitamoto, Setsuro Ibayashi, Mitsuo Iida, Toru Iwaki

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

A 9-year-old Japanese girl received a cadaveric dura mater graft during surgery following a head injury with brain contusion. She continued to do well, but when she became 19-years-old, she gradually showed a violent character and was treated in a psychiatric hospital. Another 6 years later, 200 months after the procedure, she developed a progressive gait ataxia, which subsequently led to her death within 10 months of onset. An autopsy showed she had CJD. This patient represents an atypical case of dura-associated CJD (dCJD) with unusual clinicopathological features including the late occurrence of myoclonus, an absence of periodic synchronous discharges in the electroencephalogram, and the presence of widespread florid plaques. However, our detection of an asymmetrical increase in the MRI-derived images of pulvinar nuclei has not been previously observed in other atypical cases of dCJD. Because atypical dCJD cases share several clinicopathological features with those of vCJD, and because asymmetrical hyperintense signals in the pulvinar have been observed in some neuropathologically confirmed vCJD cases, we had some difficulty in a differential diagnosis between atypical dCJD and vCJD. This is the first atypical dCJD case showing a pulvinar high signal compared with all other basal ganglia on MRI.

Original languageEnglish
Pages (from-to)82-88
Number of pages7
JournalNeuropathology
Volume26
Issue number1
DOIs
Publication statusPublished - Feb 1 2006

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Pulvinar
Dura Mater
Creutzfeldt-Jakob Syndrome
Magnetic Resonance Imaging
Transplants
Gait Ataxia
Myoclonus
Psychiatric Hospitals
Basal Ganglia
Craniocerebral Trauma
Electroencephalography
Autopsy
Differential Diagnosis

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Clinical Neurology

Cite this

Increased asymmetric pulvinar magnetic resonance imaging signals in Creutzfeldt-Jakob disease with florid plaques following a cadaveric dura mater graft. / Wakisaka, Yoshinobu; Santa, Naohiko; Doh-ura, Katsumi; Kitamoto, Tetsuyuki; Ibayashi, Setsuro; Iida, Mitsuo; Iwaki, Toru.

In: Neuropathology, Vol. 26, No. 1, 01.02.2006, p. 82-88.

Research output: Contribution to journalArticle

Wakisaka, Yoshinobu ; Santa, Naohiko ; Doh-ura, Katsumi ; Kitamoto, Tetsuyuki ; Ibayashi, Setsuro ; Iida, Mitsuo ; Iwaki, Toru. / Increased asymmetric pulvinar magnetic resonance imaging signals in Creutzfeldt-Jakob disease with florid plaques following a cadaveric dura mater graft. In: Neuropathology. 2006 ; Vol. 26, No. 1. pp. 82-88.
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