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Table 1 Clinical and diagnostic findings in p-CJDMM1

From: Atypical Creutzfeldt-Jakob disease with PrP-amyloid plaques in white matter: molecular characterization and transmission to bank voles show the M1 strain signature

case

gender

age at onset [years]

disease duration [months]

symptom(s) at onset

symptoms during disease course [months from onset]

EEG

Brain MRI

CSF 14–3-3 protein

CSF t-tau protein (pg/ml)

case #1

F

70

24

vision loss

lower limb weakness [1], hypophonia [1], anxiety [1], spatial and temporal disorientation [8], aphasia [8], agraphia [9], ataxia [9], pseudobulbar palsy [10], myoclonus [11], akinetic mutism [11]

PSWCs

nonspecific atrophya

positive

N/A

case #2

M

65

21

behavioral changes (apathy, depression)

memory loss [2], agraphia [2], ataxia [3], dysphagia [7], dysarthria [7], dysmetria [7], pyramidal hypertonia at right leg [7]

PSWCs

bilateral parietal and temporal, right frontal and basal ganglia hyperintensity on DWI

positive

10,804

case #3

F

48

34

ideomotor slowing, blurriness of vision, upper right limb tremor and incoordination

unsteady gait [0.5], dysarthria [0.5], myoclonus [1], multi-modal hallucinations [2], akinetic mutism [3.5]

PSWCs

typical hyperintensity on T2 and FLAIR sequences associated with severe atrophy

positive

8488

case #4

F

48

18

anorexia, weight loss

ataxia [2], tremor [2], speech abnormalities [2], akinetic mutism [8]

PSWCs

nonspecific atrophya

positive

2955

case #5

M

60

13

loss of concentration, dizziness

memory loss [2], apraxia [3], gait abnormalities [4], severe dysarthria [12], myoclonus [12], ataxia [12], loss of gait [12]

diffuse slowing

subtle hyperintensity of left parietal cortex on DWI

negative

1604

  1. aBrain MRI lacking DWI sequences; PSWCs= periodic sharp-waves complexes