Probable sporadic Creutzfeldt–Jakob disease mimicking focal epilepsy

Publication date: 2019Source: Epilepsy & Behavior Case Reports, Volume 11Author(s): Pei-Shan Hsiao, Yuan-Ming Lee, Fu-Sin Chu, Chao-Lin Lee, Fang-Chun Liu, Ping-Huang TsaiAbstractCreutzfeldt–Jakob disease (CJD) presents with seizures as an early symptom in only approximately 3% of cases. These seizures often present as nonconvulsive status epilepticus (NCSE) or epilepsia partialis continua (EPC). Here, we describe a case of probable sporadic CJD (sCJD) in an 83-year-old man whose manifest an unusual presentation of left-hand tonic seizures without evolution to EPC, as well as brain MRI findings interpreted as peri-ictal changes, which led to an initial misdiagnosis of focal epilepsy.

Source: Epilepsy and Behavior Case Reports - February 9, 2019 Category: Neurology Source Type: research