NR AVQW
AU Jardri,R.; DiPaola,C.; Lajugie,C.; Thomas,P.; Goeb,J.L.
TI Depressive disorder with psychotic symptoms as psychiatric presentation of sporadic Creutzfeldt-Jakob disease: a case report.
QU General Hospital Psychiatry 2006 Sep-Oct; 28(5): 452-4
PT case reports; journal article
AB Creutzfeldt-Jakob disease (CJD) is a rare neurodegenerative disease and shows a wide range of early clinical manifestation. We report the case of Ms. A, a 50-year-old woman, who exhibited an atypical psychiatric presentation of CJD at the beginning of the disease, as a depressive disorder with psychotic features. We discuss this case, the clinical attitudes that can lead to misdiagnose such presentation of CJD with other psychiatric diseases, and propose to repeat complementary investigations when the diagnostic is evocated, even if these tests are often negative or nonspecific in the early stages of CJD.
MH Affective Disorders, Psychotic/*diagnosis/pathology/*psychology; Aggression/physiology; Brain/pathology; Creutzfeldt-Jakob Syndrome/*diagnosis/pathology/*psychology; Delirium, Dementia, Amnestic, Cognitive; Disorders/*diagnosis/pathology/*psychology; Depressive Disorder, Major/diagnosis/pathology/psychology; Diagnostic Errors; Disease Progression; Electroencephalography; Fatal Outcome; Female; Humans; Magnetic Resonance Imaging; Middle Aged; Neurologic Examination; Patient Admission; Referral and Consultation
AD
Child and Adolescent Psychiatry Department, Michel Fontan Clinic, rue Andre Verhaeghe, Lille University Hospital Centre, 59 037 Lille cedex, France. r.jardri@free.fr
SP englisch
PO USA