Alien hand and leg as the presenting feature of probable sporadic Creutzfeldt-Jakob disease: A rare presentation of a rare disease.
Sporadic Creutzfeldt-Jakob disease (sCJD) can have varied clinical presentation depending upon the genotype at codon 129. The common presenting clinical features of sCJD are rapid onset cognitive impairment, ataxia, psychosis and visual signs (field defects, distortion, cortical blindness). Alien limb sign was first described in patients with corpus callosal tumors and later with other neurodegenerative conditions like corticobasal degeneration. Alien hand complaints as the presenting feature of sCJD has been described in literature, but simultaneous alien hand and leg has been rarely described as presenting feature of sCJD. We describe here a case of a 55-year-old man who presented with progressive left alien hand and leg as the sole clinical manifestation of probable sCJD.
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Banshi Lal
BL
Kumawat
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Chandra Mohan
CM
Sharma
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Kunal
K
Nath
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Mihir
M
Acharya
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Dinesh
D
Khandelwal
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Deepak
D
Jain
Alien hand; Cruetzfeldt-Jakob disease; clinical presentation