Table 1.
Relation to patient [as per the pedigree chart Figure 2] | Sex | Age at onset of symptoms (years) | Clinical features | Investigations (MRI brain/EEG/genetic study) | Time death from onset of symptoms (months) |
---|---|---|---|---|---|
II-1 | Female | 65 years | Forgetfulness followed by ataxia and myoclonus | No investigation done | 14 months |
II-2 | Male | 60 years | Forgetfulness followed by akinetic mutism and Myoclonus | No investigation done | 12 months |
II-4 | Female | 55 years | Forgetfulness and ataxia followed by myoclonus | No investigation done | 11 months |
III-1 | Female | 53 years | Forgetfulness, ataxia, slurring of speech followed by akinetic mutism and myoclonus | MRI brain: Not done | 3 months |
EEG: Not done | |||||
Genetic study: Not done | |||||
III-2 | Female | 48 years | Forgetfulness, insomnia, behavioral changes, ataxia, myoclonus, and akinetic mutism in terminal stages | MRI: Done | 11 months |
EEG: Not done | |||||
Genetic study: Not done | |||||
III-5 | Male | 45 years | Forgetfulness, behavioral changes, extrapyramidal symptoms followed by myoclonus | MRI: Not done | 14 months |
EEG: Not done | |||||
Genetic study: Not done | |||||
IV-2 (index case) | Male | 42 years | Described in detail in the text | MRI: Suggestive of CJD | 13 months |
EEG: Done | |||||
Genetic study: Positive for D178N mutation | |||||
IV-4 | Male | Now aged 32 years | Asymptomatic | MRI/EEG: Not done | - |
Genetic study: Positive for D178N mutation. Currently asymptomatic | |||||
V-3 | Male | Now aged 17 years | Asymptomatic | MRI/EEG: Not done | - |
Genetic study: Positive for D178N mutation. Currently asymptomatic |
MRI=Magnetic resonance imaging, EEG=Electroencephalogram, CJD=Creutzfeldt-Jakob disease