TABLE 1:

Patient data, clinical findings, and MR imaging results

Case No./Patient Sex/Age (y)DementiaMyoclonusPSDPrion Protein GeneCDJ TypeDiagnostic LevelDiffusion-weighted ImagingFLAIR ImagingADC Analysis
1/F/55YesYesYesM232RFDefiniteE(1), L(2)E(1), L(2)E(1), L(2)
2/M/78YesNoNoV180IFDefiniteL(2)L(2)L(2)
3/M/70NoYesYesNAS?ProbableE(4), L(1)E(1)NA
4/M/66YesYesYesWild typeSProbableE(1), L(3)E(1), L(3)E(1), L(3)
5/M/60YesNoYesWild typeSProbableE(1), L(1)E(1), L(1)E(1), L(1)
6/M/58YesYesYesE200KFDefiniteL(3)NANA
7/F/75*YesNoNoWild typeSDefiniteL(1)L(1)L(1)
8/M/68YesYesYesWild typeSProbableE(2)E(1)NA
9/F/74YesYesYesWild typeSProbableL(1)L(1)L(1)
10/F/76YesYesYesNAS?ProbableE(1)E(1)E(1)
11/M/78YesYesYesNAS?ProbableE(1)E(1)E(1)
12/F/76YesYesYesNAS?ProbableE(2)E(2)E(1)
13/F/82YesNoNoV180IFDefiniteE(1)E(1)E(1)
  • Note.—E200K indicates the change of codon 200 from glutamate to lysine; M232R, change of codon 232 from methionine to arginine; V180I, change of codon 180 from valine to isoleucine; NA, not available; F, familial; S, sporadic; S?, possibly sporadic; E, the early-stage study; L, late-stage study. The number in the parenthesis indicates the number of MR studies performed. Total numbers of examinations were as follows: diffusion-weighted imaging, 14 early stage and 14 late stage; FLAIR imaging, 10 early stage and 10 late stage; ADC imaging, seven early stage and 10 late stage.

  • * The diagnosis of CJD was confirmed at histopathologic analysis.

  • Wild-type prion protein gene with valine homozygosity at codon 129.