Noor Huzaifa, Baqai Muhammad Hadi, Naveed Hufsa, Naveed Tooba, Rehman Syed Sarosh, Aslam Muhammad Shaheer, Lakdawala Fatima Mustafa, Memon Waleed Abdullah, Rani Sanjana, Khan Haneen, Imran Alizeh, Farooqui Sabeeh Khawar
Ziauddin Medical College, Karachi, Pakistan.
Ziauddin Medical College, Karachi, Pakistan.
J Neurol Sci. 2024 Dec 15;467:123293. doi: 10.1016/j.jns.2024.123293. Epub 2024 Nov 12.
Creutzfeldt-Jakob Disease (CJD) is one of the sample prion diseases that have characteristic features of rapidly progressive neurodegenerative disease manifested by psychomotor changes, some of which include cognitive dysfunction, motor disorder, and behavioral abnormalities. In general, this brief review will assist in elucidating the clinical features and onset, causes, diagnostic challenges, and therapeutic possibilities of CJD. It is classified into sporadic, hereditary, and acquired forms, and affection is identified as linked to the different prion varieties and genetic profiles. The disease process of CJD consists of the deposition of misfolded prions in the brain that causes apoptosis and the subsequent morphological features in the form of spongiform changes. Diagnostic strategies have changed; presently, one can see imaging methods, diagnosis through CSF biomarkers, and genetic-based diagnosis. At this time, there is no cure for CJD; therefore, management and treatment aim at supporting the patient and alleviating the signs and symptoms of the disease. As per our discussion, this review sought to accustom the readers with recent studies conducted, diagnostic advancements, and probable therapeutic approaches, pointing to the general index that more research is needed to fight CJD.
克雅氏病(CJD)是一种典型的朊病毒病,具有快速进展性神经退行性疾病的特征,表现为精神运动变化,其中包括认知功能障碍、运动障碍和行为异常。总的来说,这篇简短的综述将有助于阐明CJD的临床特征、发病情况、病因、诊断挑战和治疗可能性。它分为散发性、遗传性和获得性形式,其发病被认为与不同的朊病毒种类和基因特征有关。CJD的疾病过程包括错误折叠的朊病毒在大脑中沉积,导致细胞凋亡以及随后出现海绵状变化的形态学特征。诊断策略已经发生了变化;目前,可以看到成像方法、通过脑脊液生物标志物进行诊断以及基于基因的诊断。目前,CJD无法治愈;因此,管理和治疗旨在支持患者并减轻疾病的体征和症状。根据我们的讨论,这篇综述旨在使读者熟悉最近进行的研究、诊断进展和可能的治疗方法,指出需要更多研究来对抗CJD这一总体指标。