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Sporadic Creutzfeldt Jakob disease: Presentation of the first clinical-pathological case in Ecuador

Abstract:

Introduction: Sporadic Creutzfeldt-Jakob disease (sCJD) has not yet been described in Ecuador. Methods: We present a 53-year-old patient who came to the Neurology Department of the Eugenio Espejo Hospital because of clinical symptoms and EEG and MRI tests that met the criteria for a diagnosis of CJD, which was later confirmed by neuropathological findings. Results: That patient was admitted to the hospital because of visual impairments and ataxia. During his stay in the hospital, in addition to blindness, myoclonus and bilateral cortico-spinal signs, the patient's cognitive functions declined rapidly and progressively. The clinical symptoms, the EEG and MRI were highly suggestive of CJD. The neuropathological findings confirmed this diagnosis. Conclusion: We report the first case in Ecuador, with neuropathological confirmation, of a patient diagnosed with the Heidenhain variant of sCJD.