KMID : 1225120110030010036
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Vascular Neurology 2011 Volume.3 No. 1 p.36 ~ p.39
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Creutzfeldt-Jakob Disease Presenting with Isolated Visual Complaints: Heidenhain¡¯s Variant
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Yang Young-Soon
Joo Jae-Jeong Lee Sun-Hwa Hwang Jung-Yun Ha Sang-Won Han Jung-Ho Cho Eun-Kyoung Kim Doo-Eung
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Abstract
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Heidenhain variant of Creutzfeldt-Jakob disease (CJD) may include visual field defects, visual hallucinations, visual agnosia, cortical blindness, and abnormal color or visuospatial perception. We report a 47-year-old man presenting with visual symptoms, prosopagnosia, simultagnosia. Myoclonus was synchronous with generalized periodic epileptiform discharges on electroencephalography. Diffusion-weighted magnetic resonance brain images showed increased signal intensity in the bilateral caudate and putamen, both occipital cortices, and left frontal and temporal cortices. 14-3-3 protein was positive in the cerebrospinal fluid. The Heidenhain variant of CJD should be considered in patients with isolated visual complaints and either.
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KEYWORD
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Creutzfeldt-Jakob disease, Heidenhain¡¯s variant
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