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Diffusion-weighted MRI findings and clinical correlations in sporadic Creutzfeldt–Jakob disease

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Abstract

The objective of this study is to investigate the hyperintense lesions on diffusion-weighted magnetic resonance imaging (DWI) and its clinical correlation in sporadic Creutzfeldt–Jakob disease (sCJD). Patients who suffered from sCJD and followed up at the Department of Neurology at the General Hospital of the People’s Liberation Army during the period of June 1, 2007 to July 1, 2014 were reviewed. The location of the hyperintense lesions on DWI, apparent diffusion coefficient (ADC) values of the hyperintense lesions were correlated with symptoms and clinical course. A total of 58 sCJD patients and ten healthy controls were included. Hyperintense lesions on DWI were observed in all the patients. The patients with basal ganglia (BG) hyperintense lesions on DWI had shorter disease duration and higher incidence of myoclonus (92 versus 44 %) than those without BG hyperintense lesions. The patients with occipital cortex hyperintense lesions on DWI had shorter disease duration between symptom onset and akinetic mutism than those without these lesions. The lower of the BG ADC value the faster presence of akinetic mutism and the shorter disease duration the patients will have. The presence of BG and occipital cortex hyperintense lesions on DWI and BG ADC values is correlated with the clinical course and clinical symptoms.

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Acknowledgments

The authors thank the Diagnostic Radiology Department and the Nuclear Medicine Department of the General Hospital of the People’s Liberation Army for their assistance.

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.

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    Authors and Affiliations

    1. Department of Neurology, Chinese People’s Liberation Army General Hospital, No. 28, Fuxing Road, Haidian District, Beijing, 100853, China

      Ting Gao, Jia-Tang Zhang, Wei Zhao, Xiao-Wei Xing, Ming Yang, Yan Yao, Qing-Che Tan, Cheng-Lin Tian, Xu-Sheng Huang & Sheng-Yuan Yu

    2. Department of Radiology, Chinese People’s Liberation Army General Hospital, No. 28, Fuxing Road, Haidian District, Beijing, 100853, China

      Jin-Hao Lyu, Xin Lou & Lin Ma

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    1. Ting Gao
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    Correspondence to Jia-Tang Zhang or Xin Lou.

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    T. Gao and J.-H. Lyu contributed equally to the manuscript.

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    Gao, T., Lyu, JH., Zhang, JT. et al. Diffusion-weighted MRI findings and clinical correlations in sporadic Creutzfeldt–Jakob disease. J Neurol 262, 1440–1446 (2015). https://doi.org/10.1007/s00415-015-7723-6

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    • DOI: https://doi.org/10.1007/s00415-015-7723-6

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