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Familial Creutzfeldt-Jakob Disease (Codon 200 Mutation) with Supranuclear Palsy
Bertoni. J. M. , et al, JAMA 268:2413-2415., , 1992
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Article Abstract
Nine family members had progressive fatal neurological disease consistent with CJD without myoclonus or typical electroencephalographic findings. Supranuclear gaze palsy was present in all five patients who underwent eye examinations.Two neuropathologically confirmed cases and five of nine at- risk family members had an identical mutation(GAG to AAG,glutamic acid to lysine in codon 200 of the amyloid gene(PRNP)on chromosome 20.Clinically atypical CJD with early supranuclear gaze palsy but without myoclonus or characteristic electroencephalographic periodicity patterns is associated with the codon 200 Lys mutation in the largest CJD kindred yet reported. The clinical concept of familial CJD should be enlarged to include this unusual phenotype.
 
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Creutzfeldt-Jakob disease,genetic
dementia
dementia,rapidly progressive
electroencephalogram
familial
gaze palsy
gaze palsy,supranuclear
genetic linkage
Jakob-Creutzfeldt disease
molecular genetics
polymerase chain reaction

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