[Differential diagnosis of status epilepticus in intensive care: about one case of sporadic Creutzfeldt-Jakob].
A 78-year-old man was admitted in the intensive care unit for epilepsy seizure (tonic-clonic seizure). Since three months, his wife reports motor dysfunction (weakness) and since two weeks, rapidly progressive changes in cognition (apraxia, akinetic mutism). The diagnosis of probable sporadic Creutzfeldt-Jakob on the basis of clinical, EEG and MRI lesions was made. Refining diagnostic criteria is probably needed, including the usefulness of repeated MRI with FLAIR and diffusion-weighted imaging.
Service de réanimation médico-chirurgicale, hôpital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France. Electronic address: anthonychauvin@hotmail.fr.
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Chauvin
Service de réanimation médico-chirurgicale, hôpital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Dubost
Service de réanimation médico-chirurgicale, hôpital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Cleophax
Service de neurologie, hôpital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Niclot
Service de réanimation médico-chirurgicale, hôpital René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Thuong
D000368:Aged; D003072:Cognition Disorders / Q000209:etiology; D007562:Creutzfeldt-Jakob Syndrome / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D013226:Status Epilepticus / Q000175:diagnosis*
Creutzfeldt-Jakob sporadique; Critères diagnostiques; Diagnostic criteria; EEG; IRM; MRI; Protein 14-3-3; Protéine 14-3-3; Sporadic Creutzfeldt-Jakob