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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2004-10-7
pubmed:abstractText
We describe the clinical and genetic characteristics of the 85 definite or probable human prion diseases cases died between January 1993 and December 2002 in Catalonia (an autonomous community of Spain, 6 million population). Seventy-three (86%) cases were sporadic Creutzfeld-Jakob diseases (sCJD) (49 definite, 24 probable), with a median age at onset of 66 years. The clinical presentation was dementia in 29 cases, ataxia in 14 and visual symptoms in five. The median survival was 3 months. The 14-3-3 assay was positive in 93% cases, 62% presented periodic sharp wave complexes (PSWC) in EEG but only 18% the typical signs on MRI. Forty-eight sCJD were studied for codon 129 PRNP polymorphism: 69% were methionine/methionine (M/M), 14.5% valine/valine (V/V) and 16.5% M/V. Six out of seven V/V cases did not present PSWC and in two survival was longer than 20 months. Eleven cases (13%) were genetic: five familial fatal insomnia and six familial CJD (fCJD). Up to four (67%) fCJD lacked family history of disease, two presented seizures early at onset and one neurosensorial deafness. The only iatrogenic case was related to a dura mater graft. No case of variant CJD was registered. The study confirms in our population the consistent pattern reported worldwide on human prion diseases. Atypical features were seen more frequently in sporadic 129 V/V CJD and fCJD cases.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1351-5101
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
649-55
pubmed:dateRevised
2006-11-28
pubmed:meshHeading
pubmed-meshheading:15469448-14-3-3 Proteins, pubmed-meshheading:15469448-Adult, pubmed-meshheading:15469448-Aged, pubmed-meshheading:15469448-Aged, 80 and over, pubmed-meshheading:15469448-Amyloid, pubmed-meshheading:15469448-Ataxia, pubmed-meshheading:15469448-Dementia, pubmed-meshheading:15469448-Electroencephalography, pubmed-meshheading:15469448-Female, pubmed-meshheading:15469448-Humans, pubmed-meshheading:15469448-Magnetic Resonance Imaging, pubmed-meshheading:15469448-Male, pubmed-meshheading:15469448-Methionine, pubmed-meshheading:15469448-Middle Aged, pubmed-meshheading:15469448-Polymorphism, Genetic, pubmed-meshheading:15469448-Prion Diseases, pubmed-meshheading:15469448-Prions, pubmed-meshheading:15469448-Protein Precursors, pubmed-meshheading:15469448-Retrospective Studies, pubmed-meshheading:15469448-Spain, pubmed-meshheading:15469448-Valine
pubmed:year
2004
pubmed:articleTitle
Clinical and genetic features of human prion diseases in Catalonia: 1993-2002.
pubmed:affiliation
Services of Neurology, Institut d'Investigació Biomédica August Pi i Sunyer (IDABAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't