Rare, prion caused, Creutzfeldt-Jakob disease was diagnosed for the first time in a live person in Lithuania. Disease manifestation created a conundrum for specialists in Hospital of Lithuanian University of Health Sciences Kaunas Clinics. Clinicians from five departments - neurology, psychiatry, radiology, pathology and neurosurgery have been working in close cooperation.
Lietuvos sveikatos mokslų universiteto ligoninėje Kauno klinikose pirmą kartą Lietuvoje dar gyvam pacientui diagnozuota reta prionų sukeliama Creutzfeldto-Jakobo liga. Šios ligos diagnostika buvo komandinio darbo rezultatas, bendradarbiaujant neurologams, psichiatrams, radiologams, patologams ir neurochirurams.
Disease incidence is 1-2 cases per 1 million people a year. Moreover, authors had a puzzle to solve when differentiating between posterior reversible encephalopathy syndrome, Heidenhain variant of Creutzfeldt-Jakob disease and various psychiatric disorders. Psychiatrist- resident of Psychiatry clinic, Lithuanian University of Health Sciences Edgaras Dirzius and colleagues presented the diagnostic difficulties that were encountered with this particular patient publishing “Sporadic Creutzfeldt-Jakob disease with unusual initial presentation as posterior reversible encephalopathy syndrome: a case report” in BMC Neurology (IF 1.961/2015).Liga pakankamai reta, dažnis - 1-2 atvejai milijonui žmonių, be to specialistams iškilo diagnostinė dilema, diferencijuojant su grįžtamuojo užpakalinės encefalopatijos sindromu, Creutzfeldto-Jakobo ligos Heidenhain variantu ir įvairiais psichikos sutrikimais. Sunkumais, su kuriais buvo susidurta diagnostikoje LSMU Psichiatrijos klinikos gydytojas- rezidentas Edgaras Diržius su bendraautoriais pristato šio klinikinio atvejo aprašyme BMC Neurology žurnale, IF 1.961 (2015) “Sporadic Creutzfeldt-Jakob disease with unusual initial presentation as posterior reversible encephalopathy syndrome: a case report”.