Creutzfeldt-Jacob disease presenting as severe depression: a case report
2009

Creutzfeldt-Jacob Disease Presenting as Severe Depression

publication Evidence: low

Author Information

Author(s): Ethan Cumbler, Kristin Furfari, Jeannette Guerrasio

Primary Institution: University of Colorado Denver School of Medicine

Hypothesis

Can severe depression be an initial presentation of Creutzfeldt-Jacob disease?

Conclusion

The case highlights that severe depression can be a behavioral manifestation of Creutzfeldt-Jacob disease.

Supporting Evidence

  • Initial symptoms included severe depression and suicidal ideation.
  • Elevated 14-3-3 CSF protein suggested a prion disorder.
  • Post-mortem examination confirmed the diagnosis of Creutzfeldt-Jacob disease.

Takeaway

Sometimes, people can get very sad and confused because of a rare brain disease called Creutzfeldt-Jacob disease, which can happen even if they seemed fine before.

Methodology

The case study involved clinical evaluation, imaging tests, and post-mortem examination.

Potential Biases

Potential bias in diagnosis due to initial psychiatric presentation.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

An 81-year-old white female with a history of waldenstroms macroglobulinemia.

Digital Object Identifier (DOI)

10.1186/1757-1626-2-122

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