1985

New Triangle Content copy

Year 06

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Prof. James W. Lance

Professor of Neurology University of New South Wales, Australia

THEME: YOU AND YOUR HEADACHE

Two distinct groups causing serious degenerative diseases of the brain and spinal cord are known, namely Kuru & Creutzfeldt-Jakob disease (CJD). It was observed that along with scrapie in sheep, these diseases shared a common pathology of spongiform degenerative disease of the brain and encephalopathy. As the virus has not been detected, a possible alteration of the transmissible agent by the host is suggested and slow virus disease is placed under the category of “unconventional virus diseases”. The syndromic presentation of CJD is cerebellar ataxia, aphasia, focal limb weakness, visual hallucinations, myoclonus, visual failure due to cortical blindness and early onset of dementia. Progressive spasticity, rigidity and vegetative state results in a fatal outcome within months, with the EEG presentation being generalised periodic spike complexes.