Transmissible Spongiform encephalopathy

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Clinic

  • TSEs are a group of progressive and fatal conditions that are associated with prions (CJD, NVCJD, GSS, FFI and KRU)
  • Its name comes from many tiny holes appearing in the cortex in autopsy.
  • It is characterized by
    • Progressive cerebellar ataxia (Dysarthria, Incoordination)
    • Loss of control over muscle movements

Sign / Symptoms

  • Dementia: Memory changes, Confusion
  • Personality changes
  • Problems with movement: Myoclonus
  • Depression
  • Ataxia: Lack of coordination, Unsteady gait
  • Unusual sensations,
  • Insomnia,

Features

  1. Spongiform change
  2. Neuronal loss
  3. Astrocytosis
  4. Amyloid plaque formation