2010 issue 4

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Volume 19, issue 4

Case report

From conversion to Creutzfeldt-Jakob disease – a case report

Agnieszka Tobiczyk-Teper1,2, Katarzyna Konderla2, Dorota Maśnica-Machej2, Katarzyna Buryan-Marosz2, Irena Krupka-Matuszczyk1
1. Katedra i Klinika Psychiatrii i Psychoterapii, Śląski Uniwersytet Medyczny, Katowice
2. Oddział Psychiatryczny, Szpital Śląski, Cieszyn
Postępy Psychiatrii i Neurologii 2010; 19(4): 323–325
Keywords: Creutzfeldt-Jakob disease, rapidly progressive dementia

Abstract

Objective. An analysis of psychopathological and neurological symptoms as well as environmental factors in a patient with rapidly progressive dementia.
Case report. A 66-year-old woman previously hospitalized at surgery, neurology and ophthalmology departments for gait and vision disorders was consulted by a psychiatrist due to suspected conversion and anxiety symptoms, and subsequently admitted to a psychiatric department. During her hospitalization there Creutzfeldt-Jakob disease (CJD) was tentatively recognized and the patient was referred back to the neurology ward. The final diagnosis of CJD was based on the clinical picture, EEG examination, the presence of the 14-3-3 protein in the cerebrospinal fluid, and the patient's neuropsychiatric condition.
Commentary. Rapidly progressive dementia associated with neurological and psychiatric symptoms may be a manifestation of the rare disease. A multi-specialist team approach is necessary to arrive at a valid and accurate diagnosis in such cases.

Address for correspondence:
Lek. Agnieszka Tobiczyk–Teper
Klinika Psychiatrii i Psychoterapii Śląskiego Uniwersytetu Medycznego w Katowicach
Górnośląskie Centrum Medyczne w Katowicach
ul. Ziołowa 45/47, 40-635 Katowice
e-mail: agnieszka.tobiczykteper@gmail.com