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©The Author(s) 2024.
World J Clin Cases. Apr 26, 2024; 12(12): 2065-2073
Published online Apr 26, 2024. doi: 10.12998/wjcc.v12.i12.2065
Published online Apr 26, 2024. doi: 10.12998/wjcc.v12.i12.2065
Table 2 Difference between a previous case report about rapidly progressive dementia with human immunodeficiency virus and current report
Ref. | Pt | Sex | Age | Race/Region | Symptoms | Examination | Diagnosis | Management | Outcomes |
Babi et al[4] | 2016 | Male | 66 | United States | Conceptual apraxia, apathy, memory impairment, and gait disturbance, ataxia with gait disturbance, chronic peripheral neuropathy | CSF: 14-3-3(+); T-Tau(+); RT-Qu IC(+); MRI: signal abnormalities in the bilateral caudate, putamen, and thalami, as well as gyriform cortical; EEG: (-); PRNP: N/A; Autopsy: CJD | Sporadic CJD | Palliative care | Passed away (3 months) |
Eimer et al[7] | 2018 | Male | 59 | Caucasian | Mildly disoriented being insecure about the situation and location | CSF: 14-3-3(+); MRI: signal abnormalities in the caudate nuclei, frontal cortex, and parietal cortex bilaterally; EEG: periodic triphasic spike and wave complexes; PRNP: M129V; Autopsy: CJD | Sporadic CJD | Palliative care | Passed away (2 months) |
Abu-Rumeileh et al[3] | 2018 | Male | 62 | Italy | Drowsy, with reduced verbal fluency, miotic reagent pupils, and a mask face. Axial and limb plastic hypertonia and dystonia of both hands | CSF: 14-3-3(+); MRI: cortical atrophy and multiple white matter lesions. EEG: pseudo-periodic slow spike discharges; PRNP: N/A; Autopsy: CJD | Sporadic CJD | Palliative care | Passed away (4 months) |
De Carvalho Neto et al[6] | 2019 | Male | 52 | Caucasian | Progressive imbalance, motor and cognitive deterioration and hypersomnia | CSF: 14-3-3(+); MRI: cortical gyri_x005f form restriction on both hemispheres; EEG: triphasic PSWC; PRNP: N/A; Autopsy: N/A | Probable sporadic CJD | Palliative care | Passed away (greater than 2 months) |
van de Ven et al[21] | 2019 | Male | 63 | Black Zimbabwean | Progressive difficulties with decision-making, obsessive compulsive disorder and visual hallucinations | CSF: 14-3-3 (weakly+); MRI: bilateral abnormal signal within the posterolateral thalami compatible with pulvinar sign; EEG: Diffuse excess of slow activity; PRNP: M129V; Autopsy: CJD | Variant CJD | Palliative care | Passed away (10 months) |
Dahy et al[5] | 2021 | Male | 52 | Brazil | Global cerebellar syndrome, bilateral Babinski, 4-limb paratonia and release of face axial reflexes. The memory, attention and executive function deficits | CSF: 14-3-3(+); MRI: bilateral hyper intensity of images in caudal nuclei; EEG: (-); PRNP: M129V; Autopsy: N/A | Probable sporadic CJD | N/A | Passed away (13 months) |
Dahy et al[5] | 2021 | Male | 61 | Brazil | Asthenia, lack of appetite, difficulty sleeping and occasional memory lapses, uncoordinated steps, visual delusions and bladder incontinence | CSF: 14-3-3(+); MRI: bilateral cortical ribboning in the cerebral cortex; PRNP: N/A; EEG: N/A; Autopsy: N/A | Probable sporadic CJD | N/A | Passed away (5 months) |
Current report | 2022 | Male | 54 | Han/China | Progressive hypomnesis, paroxysmal anterograde amnesia, unsteady gait | CSF: 14-3-3 (weakly+); MRI: Bilateral abnormal signal within the posterolateral thalami compatible; EEG: Borderline abnormality of the periodic triphasic wave; PRNP: 129 M/M; Autopsy: N/A | Probable ADC | Anti-HIV | Improved and following-up |
- Citation: He YS, Qin XH, Feng M, Huang QJ, Zhang MJ, Guo LL, Bao MB, Tao Y, Dai HY, Wu B. Human immunodeficiency virus-associated dementia complex with positive 14-3-3 protein in cerebrospinal fluid: A case report. World J Clin Cases 2024; 12(12): 2065-2073
- URL: https://www.wjgnet.com/2307-8960/full/v12/i12/2065.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v12.i12.2065