Prion disease | GH-CJDMM1 | GH-CJDMM1 | GH-CJDMM1 | dCJDMM1 | sCJDMM1 (203 cases)a |
---|---|---|---|---|---|
Case | 1 (index case) | 2 | 3 | 4 | |
Clinical data | |||||
Disease presentation | Ataxia, weight loss and insomnia. | Ataxia and slurred speech. | Left leg numbness with broad based gait. | Visual changes and ataxic gait. | Rapidly progressive cognitive decline; occasionally cortical visual disturbances, ataxia, and myoclonus. |
Age (years)/gender | 50/male | 54/male | 40/female | 39/female | 65.5b (42–91)c |
Disease duration (months) | 14 | 2 | 2 | 4 | 3.9b (1–18)c |
Incubation time (years) | 38d | 41.5d | 26.3d | 6e | |
Molecular features | |||||
resPrPSc type | 1 | 1 | 1 | 1 | 1 |
Codon 129 genotype | Met/Met | Met/Met | Met/Met | Met/Met | Met/Met |
Histopathology (differences with sCJDMM1 underlined) | |||||
PrP plaques | |||||
Kuru | +++ | - | - | - | - |
Florid | + | - | - | - | - |
Eosinophilic | +++ | - | - | - | - |
SDf/gliosis | |||||
Severity | |||||
Hippocampus | ++/− | −/− | −/− | −/− | −/− |
SNg of midbrain | ++/+++ | −/− | −/− | −/− | −/− |
Topography (SD only) | Severe in subcortical regions; preferentially in layers IV-VI of cerebral cortex (cc); cerebellar molecular layer, focal. | Less severe in occipital than frontal cc; entorhinal cc and basal ganglia spared; occasionally most severe in deep layers of the cc; cerebellar molecular layer, focal. | More severe in occipital than frontal cc; entorhinal cc and basal ganglia affected; occasionally most severe in deep layers of cc; cerebellar molecular layer, ubiquitous. | All layers of cc affected; more severe in occipital than frontal cc; entorhinal cc and basal ganglia affected; cerebellar molecular layer, focal. | All layers of cc affected; more severe in the occipital than frontal cc; entorhinal cc and basal ganglia affected; cerebellar molecular layer, focal. |
PrP IHCh cerebellum | PrP “stellate”, kuru plaques, plaque-like; occasionally “brush stroke-like”. | “brush stroke-like” | “brush stroke-like” | “brush stroke-like” | “brush stroke-like” |