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Summary of clinical and pathologic findings in six cases of pCJD

Case No.Age (y)/SexDuration of Illness (mo)Clinical Findings (mo after onset)Brain Weight (gs)Histologic Findings (gray matter: spongiform change, neuronal loss and gliosis; white matter: loss of myelin and axons)
Cerebral CortexCerebral White MatterInternal CapsuleBasal GangliaThalamusBrain StemMiddle Cerebellar Peduncle
166/M8Dementia (1); change of character (0); myoclonus (3); ataxia (2); akinetic mutism (4); dysarthria (2); PSD (4)1210+++–++ST: ++++CP: −
GP: ++PLF: −
PN: −
PTF: −
264 /F15Dementia (1); ataxia (0); myoclonus (1); tremor (1); akinetic mutism (2); dystonia (1); PSD900++++++ST: +++++CP: −
GP: ++PLF: +
PN: −
PTF: +
378 /F22Dementia (0); tremor (1); myoclonus (2); diplopia (1); akinetic mutism (3); PSD (2)740++++++ST: +++++–+++CP: −++
GP: +++PLF: −
PN: +
PTF: ++
476 /F25Dementia (2); tremor (0); myoclonus (2); hemiplegia (1); akinetic mutism (3); PSD720++++++ST: +++++–+++CP: ++
GP: ++PLF: +
PN: +
PTF: ++
568 /F28Dementia (1); ataxia (0); myoclonus (2); chorea (1); akinetic mutism (2); PSD650++++++++ST: +++++–+++CP: ++++++
GP: ++PLF: +++
PN: +++
PTF: +++
682 /F30Dementia (0); gait disturbance (5); myoclonus (5); akinetic mutism (6); PSD740++++++++ST: +++++–+++CP: ++++++
GP: ++PLF: +++
PN: +++
PTF: +++
  • Note.—PSD, periodic synchronous discharge on electroencephalogram; ST, striatum; GP, globus pallidus; CP, cerebral peduncle; PN, pontine nucleus; PTF, pontine transverse fibers; PLF, pontine longitudinal fibers; +, mild; ++, moderate; +++, marked.