A 32-year-old man presents with progressive cognitive decline, myoclonic jerks, and visual disturbances over 6 months. Vital signs: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98% on room air. He denies recent travel or animal exposure. MRI brain shows characteristic gray matter spongiform changes. Serum 14-3-3 protein is elevated. EEG demonstrates periodic sharp wave complexes at 1-2 Hz. Which of the following is the most likely diagnosis?
- A)Alzheimer disease
- B)Mitochondrial encephalomyopathy
- C)Viral encephalitis
- D)Creutzfeldt-Jakob diseaseGABARITO
- E)Epilepsy with myoclonic seizures
Explicação
Creutzfeldt-Jakob disease (CJD) is a rapid progressive neurodegenerative prion disease presenting with dementia, myoclonus, visual changes, and cerebellar ataxia. MRI shows spongiform gray matter changes, 14-3-3 protein is elevated in CSF, and EEG shows charac... Ver explicação completa e trilha adaptativa →