Severe cerebellar atrophy in the panencephalopathic type of Creutzfeldt-Jakob disease: a case report

1995 ◽  
Vol 242 (5) ◽  
pp. 348-350 ◽  
Author(s):  
V. Otto ◽  
U. Patzold ◽  
K. Donhuijsen ◽  
G. F. Walter
2021 ◽  
Vol 13 ◽  
pp. 100236
Author(s):  
Vaibhav Seth ◽  
Suman Kushwaha ◽  
Ritu Verma ◽  
Priyankkumar Mukeshbhai Patel ◽  
R Kiran Gowda ◽  
...  

2016 ◽  
Vol 33 (S1) ◽  
pp. S311-S311
Author(s):  
F. Pavez Reyes ◽  
M. Sánchez ◽  
E. Moral ◽  
M. Terradillos ◽  
N. López ◽  
...  

Chronic use of alcohol is a known cause of cerebellar atrophy. This finding could be a valuable diagnosis support when there are not other information sources. In this case report, we describe a 65-year-old male patient who was referred from primary care to specialized consultation because a depressive syndrome it was unresponsive to treatment with desvenlafaxine and lorazepam. In psychopathological exploration we found overvalued ideas of suffering some kind of injury and damage by the family, which oriented the diagnostic hypothesis of delusional disorder with secondary mood symptoms, although the clinical suspicion of abuse of alcohol was proposed as a differential diagnosis. The continuing minimization and denial of consumption by the patient as well as their reluctance to incorporate an external informant made that the workup was a key element to elucidate the diagnosis. We found a discrete increase in transaminases, gamma glutamyl transferase and alkaline phosphatase. Magnetic resonance imaging showed cerebellar atrophy (vermian and, in a lesser extent, in both hemispheres). Once the patient was confronted with these results, he agreed to disclose his problem, which fulfilled alcohol dependence criteria. After that, he accepted to initiate treatment and detoxification in a specialized unity.ConclusionsAlthough psychiatric diagnosis is based on the clinical features and the exclusion of associated medical conditions, in this case the workup provided support to our clinical suspicion, favouring recognition of the problem and willingness to treatment by the patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 372 ◽  
pp. 444-446 ◽  
Author(s):  
Hiroaki Yaguchi ◽  
Akiko Takeuchi ◽  
Kazuhiro Horiuchi ◽  
Ikuko Takahashi ◽  
Shinnichi Shirai ◽  
...  

2021 ◽  
Vol 429 ◽  
pp. 119065
Author(s):  
Miguel Md Miranda ◽  
Fernando Pita ◽  
Cátia Carmona ◽  
Sandra Sousa
Keyword(s):  

2021 ◽  
Vol 59 (3) ◽  
pp. 327-334
Author(s):  
Anna Karolina Stanowska ◽  
Barbara Wach ◽  
Izabela Herman-Sucharska ◽  
Dariusz Adamek

2011 ◽  
Vol 31 (5) ◽  
pp. 540-548 ◽  
Author(s):  
Yasushi Iwasaki ◽  
Keiko Mori ◽  
Masumi Ito ◽  
Masamitsu Nagaoka ◽  
Toshiaki Ieda ◽  
...  

2021 ◽  
Vol 9 (34) ◽  
pp. 10638-10644
Author(s):  
Yong-Wei Xu ◽  
Jie-Qun Wang ◽  
Wei Zhang ◽  
Shu-Chang Xu ◽  
Yun-Xia Li

Prion ◽  
2020 ◽  
Vol 14 (1) ◽  
pp. 143-148
Author(s):  
Xiping Wu ◽  
Zhao Cui ◽  
Xie Guomin ◽  
Haifeng Wang ◽  
Xiaoling Zhang ◽  
...  
Keyword(s):  

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