Volume 13, Issue 2 pp. 137-140
CASE REPORT

An autopsy case of MM1-type sporadic Creutzfeldt–Jakob disease with long survival of 7 years

Aya Kawanami

Aya Kawanami

Department of Neurology, National Hospital Organization, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan

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Akira Arakawa

Akira Arakawa

Brain Bank for Aging Research (Department of Neuropathology), Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, Japan

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Tomoyasu Matsubara

Tomoyasu Matsubara

Brain Bank for Aging Research (Department of Neuropathology), Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, Japan

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Masanobu Miyashita

Masanobu Miyashita

Department of Neurology, National Hospital Organization, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan

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Yuichi Miyagi

Yuichi Miyagi

Department of Neurology, National Hospital Organization, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan

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Kazuko Hasegawa

Kazuko Hasegawa

Department of Neurology, National Hospital Organization, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan

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Shigeo Murayama

Shigeo Murayama

Brain Bank for Aging Research (Department of Neuropathology), Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, Japan

Brain Bank for Neurodevelopmental, Neurological and Psychiatric Disorders, United Graduate School of Child Development and Department of Neurology, Graduate School of Medicine, Osaka University, Suita-shi, Osaka, Japan

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Saburo Yagishita

Saburo Yagishita

Department of Neurology, National Hospital Organization, NHO Sagamihara National Hospital, Sagamihara, Kanagawa, Japan

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Yuko Saito

Corresponding Author

Yuko Saito

Brain Bank for Aging Research (Department of Neuropathology), Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, Japan

Correspondence

Yuko Saito, Brain Bank for Aging Research (Department of Neuropathology), Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Sakae-cho, Itabashi-ku, Tokyo, Japan.

Email: [email protected]

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First published: 11 September 2024

Abstract

We report the first autopsy case of MM1-type sporadic Creutzfeldt–Jakob disease (sCJD) who survived 80 months after long-term artificial ventilatory support. The cerebral cortex and white matter exhibited severe atrophy, sparing the hippocampus. The prion protein aggregates of 10–20 μm in diameter were prominent. The structure consisted of granulofilamentous profiles. This case provides clues on how MM1-type sCJD extends pathologically after a long clinical course.

CONFLICT OF INTEREST STATEMENT

The authors declare no conflict of interests for this article.

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