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Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease.

Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease. Research Abstract Details 

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  • Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease. Abstract Text:

    yasushi iwasakiYasushi Iwasaki,maya mimuroMaya Mimuro,mari yoshidaMari Yoshida,yoshio hashizumeYoshio Hashizume,tetsuyuki kitamotoTetsuyuki Kitamoto,gen sobueGen Sobue,yasushi iwasakiYasushi Iwasaki,maya mimuroMaya Mimuro,mari yoshidaMari Yoshida,yoshio hashizumeYoshio Hashizume,tetsuyuki kitamotoTetsuyuki Kitamoto,gen sobueGen Sobue,

    We present five cases of dura mater-associated Creutzfeldt-Jakob disease (dura-CJD) that were analyzed clinicopathologically and review previous reports. The average age at dura mater transplantation was 54.4 +/- 7.3 years, and the average age at CJD onset was 66.0 +/- 8.2 years, with an average latency period of 11.6 +/- 1.1 years. The average age at death was 67.6 +/- 8.7 years, with an average CJD disease duration of 16.8 +/- 10.4 months. Symptoms of CJD onset in four patients who received dura mater transplantation below the cerebellar tent reflected cerebellar or brainstem dysfunction, whereas symptoms of one patient who received transplantation above the cerebellar tent reflected cerebral cortical involvement. All patients showed rapidly progressive cognitive impairment, and both periodic sharp-wave complexes on electroencephalogram and myoclonus were observed in the early disease stage. Neuropathologic evaluation showed one case of subacute spongiform encephalopathy and four cases of panencephalopathic-type CJD. Widespread cerebral neocortical, subcortical gray matter and cerebellar cortical involvement were observed to varying degrees, and severity tended to be associated with CJD disease duration. There were no instances of kuru plaques or florid plaques. Prion protein (PrP) immunostaining showed widespread synaptic-type PrP deposition. No differences between our dura-CJD cases and typical cases of sporadic CJD were found with respect to clinicopathologic findings, except history of dura mater transplantation. Although a specific association between the dura mater graft site and neuropathologic observations was not evaluated in the present study, the initial symptoms appear to be closely related to the graft site, indicating a direct transmission of CJD from the graft site to the adjacent brain.

    Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease. Publishing Authors By Initials

    y iwasakiY Iwasaki,m mimuroM Mimuro,m yoshidaM Yoshida,y hashizumeY Hashizume,t kitamotoT Kitamoto,g sobueG Sobue,y iwasakiY Iwasaki,m mimuroM Mimuro,m yoshidaM Yoshida,y hashizumeY Hashizume,t kitamotoT Kitamoto,g sobueG Sobue,

    For similar abstracts research abstracts see: abstracts research

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    Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Neuropathology : official journal of the Japanese

    VOLUME: 28

    Page Numbers: 51-61

    Journal Abbreviation:

    ISSN: 0919-6544

    DAY: 9

    MONTH: Feb

    YEAR: 2008

    Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease. Information

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    LANGUAGE: eng

    NlmUniqueID: 9606526

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    Grant and Affiliation Information for Clinicopathologic characteristics of five autopsied cases of dura mater-associated Creutzfeldt-Jakob disease.

    AFFILIATION: Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

    Country: Australia

    Australia Research PublicationAustralia Research Publication

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    MEDLINETA: Neuropathology

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