1991
DOI: 10.1212/wnl.41.6.940
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Creutzfeldt‐Jakob disease in a patient with a cadaveric dural graft

Abstract: We report a 26-year-old woman with Creutzfeldt-Jakob disease (CJD) who had received cadaveric dural material 33 months before the onset of neurologic symptoms. This is the fourth case in which a dural graft was the putative source of the CJD agent. All four cases had the grafting before changes in the sterilization procedure adopted in 1987 to inactivate the CJD agent.

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Cited by 73 publications
(19 citation statements)
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“…The familial type of CJD (fCJD) has been documented in the US and ElSaadany/Semenciw/Ricketts/Mao/Giulivi Canada among families originating from Europe [4], but the investigations of six cases in a cluster in the Burlington area of Toronto revealed no link with a family history of CJD [5]. Cases of iatrogenic CJD among dura mater recipients have been identified in several countries including Canada [6][7][8][9][10][11][12][13][14][15][16][17].…”
Section: Introductionmentioning
confidence: 99%
“…The familial type of CJD (fCJD) has been documented in the US and ElSaadany/Semenciw/Ricketts/Mao/Giulivi Canada among families originating from Europe [4], but the investigations of six cases in a cluster in the Burlington area of Toronto revealed no link with a family history of CJD [5]. Cases of iatrogenic CJD among dura mater recipients have been identified in several countries including Canada [6][7][8][9][10][11][12][13][14][15][16][17].…”
Section: Introductionmentioning
confidence: 99%
“…After years of complication-free clinical practice, slow virus infections like Creutzfeldt-Jakob disease were detected in grafts preserved using the freeze-drying technique and this technique was abolished [25,[43][44][45][46][47].…”
Section: Discussionmentioning
confidence: 99%
“…Commingling of dural grafts from different donors was discontinued and a sodium hydroxide treatment step was instituted to inactivate the CJD agent. Subsequent to widespread publication of this first case, many other Lyodura-associated CJD cases were reported worldwide, including in Germany, Italy, Japan, New Zealand, Spain, and the United Kingdom, and a second case was reported in the United States (20, 21,47,49,53,54,57,77).…”
Section: Dura Mater Graft-associated Creutzfeldt-jakob Diseasementioning
confidence: 96%