Pseudodemencia como Forma de Presentación de la Enfermedad de Creutzfeldt-Jakob

Authors

  • Archibaldo Donoso S. Hospital Clínico Universidad de Chile. Departamento de Neurología y Neurocirugía
  • Violeta Díaz T. Hospital Clínico Universidad de Chile. Departamento de Neurología y Neurocirugía
  • Pablo Venegas F. Hospital Clínico Universidad de Chile. Departamento de Neurología y Neurocirugía
  • Maritza Sáez C. Hospital Clínico Universidad de Chile. Departamento de Neurología y Neurocirugía
  • Jorge Bevilacqua J. Hospital Clínico Universidad de Chile. Departamento de Neurología y Neurocirugía

Abstract

Two female patients with Creutzfeldt-Jakob’ s disease whose initial diagnosis was pseudodementia are reported. Both of them began with abnormal behavior that could have had relation to biographic circumstances. They had normal or slightly abnormal neurological signs, abnormal attitudes and significant discordances in the neuropsychological performance. The CT scan (and the EEG in the second case) were normal. However, the clinical course, serial EEG and MRI led us to diagnose probable Creutzfeldt- Jakob’ s disease. It is concluded than pseudodemencia is a syndrome with important psycho-social factors; occasionally a low magnitude cerebral pathology may act as a triggering factor.

Keywords:

Demencia, Síndrome de Creutzfeldt-Jakob