A Rapid Neurologic Decline

A 54-year-old man presents with a 3-week history of cognitive decline, Ataxia, and myoclonus. Explore the diagnosis of this rapidly fatal condition.

Creutzfeld-Jakob disease


A 54-year-old man presented with a 3-week history of cognitive deterioration. Neurologic examination revealed disorientation, horizontal gaze-evoked nystagmus, hyperreflexia, startle myoclonus, and ataxia. Brain MRI with diffusion-weighted imaging revealed hyperintensity of the cortical gyri and caudate heads. What is the diagnosis?

What is the most likely diagnosis?

Dementia with Lewy bodies
Fronto-temporal dementia
Creutzfeld-Jakob disease
Lyme neuroborreliosis
Hashimoto’s encephalitis

Creutzfeld-Jakob disease, MRI, Myoclonus, Prion Disease, Rapidly Progressive Dementia

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