Review Article
Transmissible Spongiform Encephalopathies Affecting Humans
Table 1
Pathological features in CJSs [
35].
| Characteristic | Typical sporadic CJD | Variant CJD |
| Median age at death | 68 years | 28 years | Median duration of illness | 4-5 months | 13-14 months | Clinical signs and symptoms | Dementia: early neurologic signs | Prominent psychiatric/behavioral symptoms: painful dysesthesias: delayed neurologic signs | Periodic sharp waves on electroencephalogram | Often present | Often absent | Signal hyperintensity in the caudate nucleus and putamen on diffusion-weighted and FLAIR MRI | Often present | Often absent | Pulvinar signon MRI | Not reported | Present in >75% of cases | Immunohistochemical analysis of brain tissue | Variable accumulation | Marked accumulation of protease-resistant prion protein | Presence of agent in lymphoid tissue | Not readily detected | Readily detected | Increased glycoform ratio on immunoblot analysis of protease-resistant prion protein | Not reported | Marked accumulation of protease-resistant prion protein | Presence of amyloid plaques in brain tissue | May be present | May be present |
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