Review Article

Transmissible Spongiform Encephalopathies Affecting Humans

Table 1

Pathological features in CJSs [35].

CharacteristicTypical sporadic CJDVariant CJD

Median age at death68 years28 years
Median duration of illness4-5 months13-14 months
Clinical signs and symptomsDementia: early neurologic signsProminent psychiatric/behavioral symptoms: painful dysesthesias: delayed neurologic signs
Periodic sharp waves on electroencephalogramOften presentOften absent
Signal hyperintensity in the caudate nucleus and putamen on diffusion-weighted and FLAIR MRIOften presentOften absent
Pulvinar signon MRINot reportedPresent in >75% of cases
Immunohistochemical analysis of brain tissueVariable accumulationMarked accumulation of protease-resistant prion protein
Presence of agent in lymphoid tissueNot readily detectedReadily detected
Increased glycoform ratio on immunoblot analysis of protease-resistant prion proteinNot reportedMarked accumulation of protease-resistant prion protein
Presence of amyloid plaques in brain tissueMay be presentMay be present