Creutzfeldt Jakob disease (CJD): investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Creutzfeldt Jakob disease (CJD): investigations. These are in the caudate, putamen or cortical regions. Fully referenced neurology checklist.

Magnetic resonance imaging (MRI): high signal changes

  • These are in the caudate, putamen or cortical regions
  • These are mainly near the midline
  • They have also been reported in the globus pallidus

Magnetic resonance imaging (MRI): cortical ribbon sign

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Magnetic resonance imaging (MRI): other changes

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Magnetic resonance spectroscopy (MRS)

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Cerebrospinal fluid (CSF): routine indices

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Cerebrospinal fluid (CSF): specific indices

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Electroencephalogram (EEG)

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Skin biopsy

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Synonym

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References

  1. Mahillo-Fernandez I, de Pedro-Cuesta J, Bleda MJ, et al. Surgery and risk of sporadic Creutzfeldt-Jakob disease in Denmark and Sweden: registry-based case-control study. Neuroepidemiology 2008; 31:229-240.
  2. Tschampa HJ, Kallenberg K, Kretzschmar HA, et al. Pattern of cortical changes in sporadic Creutzfeldt-Jakob disease. AJNR 2007; 28:1114-1118.
  3. de Priester JA, Jansen GH, de Kruijk JR, Wilmink JT. New MRI findings in Creutzfeldt-Jakob disease: high signal in the globus pallidus on T1-weighted images. Neuroradiology 1999; 41:265-268.
  4. Chen Z, Kong Y, Wu L. Punctate diffuse cortex signals in Creutzfeldt-Jakob disease. JAMA Neurol 2024; 81:291-292.
  5. Yasuda M, Sugiyama A, Hokkoku H, et al. Propagation of diffusion-weighted MRI abnormalities in the preclinical stage of sporadic Creutzfeldt-Jakob Disease. Neurology 2022; 99:699-702.
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