Long-term preclinical magnetic resonance imaging alterations in sporadic Creutzfeldt–Jakob disease

Gianluigi Zanusso, Giulia Camporese, Sergio Ferrari, Luca Santelli, Matilde Bongianni, Michele Fiorini, Salvatore Monaco, Renzo Manara, Annachiara Cagnin

Research output: Contribution to journalArticlepeer-review


An asymptomatic 74-year-old woman, on follow-up for a carotid body tumor, showed magnetic resonance imaging (MRI) focal restricted diffusion confined to the left temporal and occipital cortices. Thirteen months later, diffusion-weighted images revealed a bilateral cortical ribbon sign involving all lobes. After 1 month, the patient developed gait instability and cognitive decline rapidly evolving to severe dementia and death within 3 months. Prion protein gene sequence, molecular, and neuropathological studies confirmed the diagnosis of sporadic Creutzfeldt–Jakob disease (sCJD) MM1 subtype. Here we show the kinetics of MRI changes and prion spreading in preclinical sCJD MM1. Ann Neurol 2016;80:629–632.

Original languageEnglish
Pages (from-to)629-632
Number of pages4
JournalAnnals of Neurology
Issue number4
Publication statusPublished - Oct 1 2016

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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