Hong Kong Med J 2010;16:487-8 | Number 6, December 2010
Creutzfeldt-Jakob disease with initial right hemiparesis masquerading as a stroke
KF Ko, WY Lau, WK Cheng, MC Kwan, LK Yip
Department of Medicine and Geriatrics, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong
The early stage of sporadic Creutzfeldt-Jakob disease is generally characterised by progressive changes in behaviour and intellectual function. While only a few patients have stroke-like onset, Creutzfeldt-Jakob disease with initial monoparesis has been described. In this report, a patient with an unusual sporadic Creutzfeldt-Jakob disease with typical magnetic resonance imaging findings, positive cerebrospinal fluid 14-3-3 brain protein, sharp-wave complexes in electroencephalogram, and initial right hemiparesis is reported.
Key words: Brain diseases; Creutzfeldt-Jakob syndrome; Electroencephalography; Paresis; Stroke
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