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==Overview==
==Overview==
*[[Biopsy]] of the [[brain]] tissue is the definitive diagnostic test for Creutzfeldt-Jakob disease, but is not usually performed. [[EEG]] findings are not diagnostic of CJD, but may help in the diagnosis of CJD. Typical EEG findings in Creutzfeldt-Jakob disease include periodic biphasic or triphasic sharp wave complexes (PSWCs). Periodic synchronous discharges (PSDs) occur either before or in synchronicity with [[myoclonus]].<ref name="Hayashi-1992">{{Cite journal  | last1 = Hayashi | first1 = R. | last2 = Hanyu | first2 = N. | last3 = Kuwabara | first3 = T. | last4 = Moriyama | first4 = S. | title = Serial computed tomographic and electroencephalographic studies in Creutzfeldt-Jakob disease. | journal = Acta Neurol Scand | volume = 85 | issue = 3 | pages = 161-5 | month = Mar | year = 1992 | doi =  | PMID = 1574996 }}</ref>
[[Biopsy]] of the [[brain]] tissue is the definitive diagnostic test for Creutzfeldt-Jakob disease(CJD), but is not usually performed. [[EEG]] findings are not diagnostic of CJD, but may help in the diagnosis of CJD. Typical EEG findings in Creutzfeldt-Jakob disease include periodic biphasic or triphasic sharp wave complexes (PSWCs). Periodic synchronous discharges (PSDs) occur either before or in synchronicity with [[myoclonus]].


==Other Diagnostic Studies==
==Other Diagnostic Studies==
===Electroencephalography===
*[[EEG]] findings are not diagnostic of CJD, but may help in the diagnosis of CJD.
*Periodic synchronous discharges (PSDs) occur either before or in synchronicity with [[myoclonus]].<ref name="Hayashi-1992">{{Cite journal  | last1 = Hayashi | first1 = R. | last2 = Hanyu | first2 = N. | last3 = Kuwabara | first3 = T. | last4 = Moriyama | first4 = S. | title = Serial computed tomographic and electroencephalographic studies in Creutzfeldt-Jakob disease. | journal = Acta Neurol Scand | volume = 85 | issue = 3 | pages = 161-5 | month = Mar | year = 1992 | doi =  | PMID = 1574996 }}</ref>
*Typical EEG findings in Creutzfeldt-Jakob disease include periodic biphasic or triphasic sharp wave complexes (PSWCs).
*Periodic sharp wave complexes can differentiate sporadic Creutzfeldt-Jakob disease‬ (present waves) from familial and variant types of Creutzfeldt-Jakob disease‬ and other prion diseases (absent waves).<ref name="Steinhoff-2004">{{Cite journal  | last1 = Steinhoff | first1 = BJ. | last2 = Zerr | first2 = I. | last3 = Glatting | first3 = M. | last4 = Schulz-Schaeffer | first4 = W. | last5 = Poser | first5 = S. | last6 = Kretzschmar | first6 = HA. | title = Diagnostic value of periodic complexes in Creutzfeldt-Jakob disease. | journal = Ann Neurol | volume = 56 | issue = 5 | pages = 702-8 | month = Nov | year = 2004 | doi = 10.1002/ana.20261 | PMID = 15449324 }}</ref>
===Biopsy===
===Biopsy===
*Deposits of [[prion]] protein (scrapie), [[PrpSc|PrP<SUP>Sc</SUP>]], can be found in the [[skeletal muscle]] and/or the [[spleen]] (approximately 30% of cases).
*Deposits of [[prion]] protein (scrapie), [[PrpSc|PrP<SUP>Sc</SUP>]], can be found in the [[skeletal muscle]] and/or the [[spleen]] (approximately 30% of cases).
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Latest revision as of 16:23, 23 October 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Biopsy of the brain tissue is the definitive diagnostic test for Creutzfeldt-Jakob disease(CJD), but is not usually performed. EEG findings are not diagnostic of CJD, but may help in the diagnosis of CJD. Typical EEG findings in Creutzfeldt-Jakob disease include periodic biphasic or triphasic sharp wave complexes (PSWCs). Periodic synchronous discharges (PSDs) occur either before or in synchronicity with myoclonus.

Other Diagnostic Studies

Biopsy

  • Deposits of prion protein (scrapie), PrPSc, can be found in the skeletal muscle and/or the spleen (approximately 30% of cases).
  • Diagnosis of vCJD can be supported by biopsy of the tonsils, which harbor significant amounts of PrpSc.
  • Biopsy of the brain tissue is the definitive diagnostic test, but is not usually performed.

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  1. 1.0 1.1 1.2 1.3 "Public Health Image Library (PHIL)".


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