Micro 2 Prions Flashcards
Normal protein and gene
PrPc
PRNP
Histological Dx
Spongiform pattern with no inflammation
Most common CJD
Sporadic
fCJD inheritance
Autosomal dominance
PrP plaque stain color
Brown
Classic v. Variant CJD histopathology
Even spread v. Florid plaques (clumps)
vCJD changes
Most evident in BG & Thalamus
florid plaques
psychiatric -> cerebellar
vCJD inheritance
none LOL
CJD v vCJD on MRI
Pulvinar sign on vCJD
Kuru progression
Ataxia -> Dementia
vCJD progression
Psychiatric -> Ataxia -> Dementia (14 months)
CJD progression
Dementia/Ataxia (5 months)
Gerstmann-Straussler Scheinker Syndrome
Pronounced Cerebellar degeneration
Fatal Familial Insomnia
Insomnia first
D178N mutation
Myoclonus
sCJD
vCDJ allele
Methionine at codon 129