2006
DOI: 10.1212/01.wnl.0000218211.85675.18
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Early clinical signs and imaging findings in Gerstmann–Sträussler–Scheinker syndrome (Pro102Leu)

Abstract: Key features for early diagnosis of Gerstmann-Sträussler-Scheinker syndrome caused by Pro102Leu mutation in PRNP (GSS102) are truncal ataxia, dysesthesia and hyporeflexia of the lower legs, and mild dysarthria. Normal cerebellar MRI and abnormal cerebral SPECT findings are characters of early GSS102.

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Cited by 67 publications
(47 citation statements)
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“…Brain atrophy occurs in all forms of prion disease, 8,31 but most reports are based on visual inspection rather than objective quantification. In an early case report, a presymptomatic P102L gene carrier demonstrated widespread supratentorial and cerebellar volume loss with relative sparing of the mesial temporal lobe structures.…”
Section: Local Volume Reductions Assessed With Vbmmentioning
confidence: 99%
“…Brain atrophy occurs in all forms of prion disease, 8,31 but most reports are based on visual inspection rather than objective quantification. In an early case report, a presymptomatic P102L gene carrier demonstrated widespread supratentorial and cerebellar volume loss with relative sparing of the mesial temporal lobe structures.…”
Section: Local Volume Reductions Assessed With Vbmmentioning
confidence: 99%
“…To measure 2-deoxy-D [1,[2][3] H]glucose uptake, paired EDL muscles were isolated from each mouse and incubated at 37°C for 30 min in Krebs bicarbonate buffer (117 mM NaCl, 4.7 mM KCl, 2.5 mM CaCl 2 , 1.2 mM KH 2 PO 4 , 1.2 mM MgSO 4 , and 24.6 mM NaHCO 3 , pH 7.5) containing 2 mM pyruvate and equilibrated with 95% O 2 , 5% CO 2 . Muscle length was maintained at approximately optimal length (L o ).…”
Section: Glucose Uptakementioning
confidence: 99%
“…As seen with the other prion diseases, NAA may be decreased diffusely in the brain parenchyma (11,84). SPECT demonstrates hypoperfusion within the cerebrum, usually greater in the occipital lobes (83,84,86). One case report using FDG-PET demonstrated decreased cortical metabolism most notable in the frontal, temporal, and parietal areas (87).…”
Section: Gerstmann-straussler-scheinker Disease (Gss)mentioning
confidence: 97%
“…MRI is usually normal or may demonstrate atrophy either diffusely or confined to the cerebellum (11,(82)(83)(84). Few reports described variable MRI findings including increased T2 signal involving the basal ganglia and posterior limb of the internal capsule (82) as well as hyperintensity within the cortex and/or basal ganglia on DWI, reminiscent of sCJD (83,85,86). MRI, including DWI, may also be normal in a significant proportion of patients (83), a feature that may be related to the variable degree of spongiform changes seen in this condition (3).…”
Section: Gerstmann-straussler-scheinker Disease (Gss)mentioning
confidence: 99%
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