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Case No. 564
2020-09-01~2020-09-30
출제자 : 박미나
Hit : 387
| Period | 2020-09-01~2020-09-30 |
|---|---|
| Diagnosis | Heidenhain phenotypic variant CJD |
| Gender |
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| Age | 73 |
| Clinical information | 73세 여자 빠르게 악화되는 기억력 저하를 주소로 내원하여 시행한 MRI 이다. 진단은? |
| Discussion | Heidenhain phenotypic variant CJD Heidenhain variant defines a peculiar clinical presentation of CJD Characterized by isolated visual disturbances, reflecting the early and prevalent involvement of the occipital cortex by the degenerative changes. Prevalence: 3.7-4.9% Molecular genetic correlation: most are MM-MV1 type Paraclinical tests - EEG: PSWCs - CSF analysis: t-tau and 14-3-3 protein level increased Imaging - 80% show occipitoparietal hyperintensity at DWI or FLAIR |
| Correct answer |
Correct Answer
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