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Forschungsdatenbank PMU-SQQUID

Functional Magnetic Resonance Imaging in the Final Stage of Creutzfeldt-Jakob Disease.
Golaszewski, SM; Wutzl, B; Unterrainer, AF; Florea, C; Schwenker, K; Frey, VN; Kronbichler, M; Rattay, F; Nardone, R; Hauer, L; Sellner, J; Trinka, E;
Diagnostics (Basel). 2020; 10(5):
Fallberichte

PMU-Autor/inn/en

Frey Vanessa Natalie
Golaszewski Stefan
Kronbichler Martin
Nardone Raffaele
Schwenker Kerstin
Sellner Larissa
Trinka Eugen
Unterrainer Axel F.

Abstract

Sporadic Creutzfeldt-Jakob disease (sCJD) is a rare fatal degenerative disease of the central nervous system. The clinical course is characterized by rapid progression of neurological and neuromuscular symptoms. The late stage with loss of consciousness is not well characterized. We report a 62-year-old male patient with sCJD with the clinical picture of a vegetative state/apallic syndrome, in whom we studied cortical responses using a vibration paradigm. The functional magnetic resonance imaging (fMRI) investigation demonstrated a clear response within the sensorimotor cortex, the cerebellum, the parietal cortex, the insular, and frontal inferior region. The finding of persistent cortical activity on fMRI in a patient with CJD in a state of unconsciousness has implications for the clinical management and for ethical considerations.


Find related publications in this database (Keywords)

Creutzfeldt-Jakob disease
functional magnetic resonance imaging
coma
apallic syndrome
alinetic mutism
sensorimotor cortex
vibration paradigm