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- W2088320171 abstract "Abstract Gerstmann–Sträussler–Scheinker syndrome is a rare autosomal dominant disease caused by a mutation in the prion gene, usually manifesting as progressive ataxia with late cognitive decline. A 44-year-old woman with a positive family history developed early personality and behavior changes, followed by paresthesias and ataxia, later associated with memory problems, pyramidal signs, anosognosia and very late myoclonus, spasticity, and severe dysexecutive impairment. Magnetic resonance showed caudate, mesio-frontal, and insular hyper-intensities, electroencephalography revealed generalized triphasic periodic complexes. A pathogenic P102L mutation in the prion gene was detected. Our case differed from classical Gerstmann–Sträussler–Scheinker syndrome by rapid progression, severe dementia, abnormal electroencephalography and magnetic resonance findings, which were highly suggestive of familial Creutzfeldt–Jakob disease. Keywords: Gerstmann–Sträussler–Scheinker syndromePrion gene mutationPrionDementia Acknowledgments This study was supported by grant IGA NS 10335-3/2009 from the Czech Ministry of Health and KH was supported by grant MSM 0021620806 of the Czech Ministry of Education, Youth and Sports. The authors thank Thomas Secrest (Medical and Scientific Editing) for revision of the English version of this article, Radek Včelák, MD, Department of Radiology Mediscan, Kolín, Czech Republic for providing MRI services and Silvie Johanidesová and Nina Matulová for realization and interpretation of neuropsychological testing." @default.
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- W2088320171 date "2013-02-01" @default.
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- W2088320171 title "Gerstmann–Sträussler–Scheinker syndrome with the P102L pathogenic mutation presenting as familial Creutzfeldt–Jakob disease: a case report and review of the literature" @default.
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