J 2021

Metastatic intracranial spread of adenocarcinoma mimicking Creutzfeldt-Jakob disease in two cases

RUSINA, R., Lenka KRAJČOVIČOVÁ, B. SRPOVA and R. MATEJ

Basic information

Original name

Metastatic intracranial spread of adenocarcinoma mimicking Creutzfeldt-Jakob disease in two cases

Authors

RUSINA, R. (203 Czech Republic, guarantor), Lenka KRAJČOVIČOVÁ (703 Slovakia, belonging to the institution), B. SRPOVA (203 Czech Republic) and R. MATEJ (203 Czech Republic)

Edition

Revue neurologique, Paris, Elsevier Masson Editeur, 2021, 0035-3787

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

France

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.313

RIV identification code

RIV/00216224:14110/21:00123240

Organization unit

Faculty of Medicine

UT WoS

000717497200002

Keywords in English

adenocarcinoma; Creutzfeldt-Jakob disease

Tags

Tags

International impact, Reviewed
Změněno: 13/12/2021 13:17, Mgr. Tereza Miškechová

Abstract

V originále

A 54-year-old female with a known pulmonary adenocarcinoma presented with rapid memory and language disturbances, she was anosognostic and apathetic with a Mini-Mental State Exam score 24/30. MRI showed parieto-occipital cortical ribboning in diffusion-weighted sequences (DWI) (Fig. 1A); cerebrospinal fluid (CSF) analysis found normal proteinorhachia (0,48 g/l), highly increased total tau (1481 ng/ml, N 116–370) and negative protein 14-3-3; testing for paraneoplastic antibodies (anti-Hu, Yo, Ri, CV2, PNMa2/Ta, amphiphysin) and antibodies associated with autoimmune limbic encephalitis (anti-NMDAR, AMPAR, CASPR2, LGI, GABABR) was negative. EEGs were nonspecific. Intravenous methylprednisolone and immunoglobulins were ineffective.