GSS, Gerstmann Straussler Scheinker syndrome: Difference between revisions

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=== Clinic ===
=== Clinic ===


* '''GSS''' is an extremely rare, fatal neurodegenerative disease
* It also classified with the transmissible spongiform encephalopathies (TSE) due to the causative role of prion protein.
* It is a [[prion]] [[Miasm list|miasm]]
* It is a [[prion]] [[Miasm list|miasm]]
*Typicaly includes progressive '''[[Cerebellar ataxia miasms|Cerebellar ataxia]]''' + [[Pyramidalism|Pyramidal tract signs]] + [[Pseudobulbar palsy|Pseudobulbar paralysis]] + [[Myoclonus entities|myoclonus]], + [[Hypo reflexia|Absent tendon reflexes]]. <ref>Zhao MM, Feng LS, Hou S, Shen PP, Cui L, Feng JC. Gerstmann-Sträussler-Scheinker disease: A case report. World J Clin Cases. 2019 Feb 6;7(3):389-395. doi: 10.12998/wjcc.v7.i3.389. PMID: 30746381; PMCID: PMC6369391.</ref> + '''[[Dysesthesia miasms|Dysesthesia]]'''
{| class="wikitable"
|+
!Entities
!Sign / Symptoms
!Diseases
|-
|[[Dysarthria]]
|
| rowspan="4" |[[Pseudobulbar palsy|Pseudobulbar paralysis]]
|-
|Emotional lability / [[Pseudobulbar affect]]
|
|-
|Hyper Reflexia
|
|-
|[[Spasm]]
|
|-
|
|[[Hypo reflexia|Absent tendon reflexes]]. <ref>Zhao MM, Feng LS, Hou S, Shen PP, Cui L, Feng JC. Gerstmann-Sträussler-Scheinker disease: A case report. World J Clin Cases. 2019 Feb 6;7(3):389-395. doi: 10.12998/wjcc.v7.i3.389. PMID: 30746381; PMCID: PMC6369391.</ref>
|
|-
|[[Myoclonus]]
|
| rowspan="3" |[[Parkinsonism]]
*''[[Tremor]]''
*''[[Spasticity]]: Rigid muscle tone and progressive muscle stiffness and weakness, causing abnormal, writhing movements''
*Bradykinesia: abnormal slowness of movement <ref>NORD</ref>
*[[Myoclonus]]
|-
|''[[Spasticity]]''
|
|-
|Ext, ''[[Tremor]]''
|
|-
|[[Athetosis miasms|Athetosis]]
|Slow, writhing, involuntary movements
|
|-
|[[Depression]]
|
*'''Hypomimia''' or '''Masked''' '''faces''': Reduced degree of facial expression / Emotion
| rowspan="2" |[[Depression]]
|-
|[[Bradyphrenia]]
|
|-
|'''Cognition impairment''' such as problems in thinking, remembering, reasoning, imagining and processing thoughts.<ref>NORD Gratefully acknowledges Pawel P. Liberski, MD, PhD, Department of Molecular Pathology and Neuropathology, Medical University of Lodz, Lodz, Poland, for assistance in the preparation of this report.</ref> leading to [[bradyphrenia]]
|
|
*
|-
|[[Nystagmus]]
|
| rowspan="5" |
==== [[Cerebellar ataxia|Cerebellar Ataxia]] ====
|-
|Spastic [[Dysarthria]]  [[Upper motor neuron, UMN|UMN]] origin
|
|-
|Extremities Incoordination
|
|-
|[[Ataxia]]
|Progressive [[Ataxia]] / Incoordination may present as unsteadiness, difficulty '''walking''', and '''clumsiness''' /Awkwardness
|-
|Ocular dysmetria
|Difficulties judging distance or scale
|}


=== Sign / Symptoms ===
Common symptoms are


=== [[Parkinsonism]] ===
*
*''[[Tremor miasms|Tremor]]'' 
* Pyramidal signs
*''[[Spasticity miasms|Spasticity]]: Rigid muscle tone and progressive muscle stiffness and weakness, causing abnormal, writhing movements''
*
*[[Bradykinesia miasms|Bradykinesia]]: abnormal slowness of movement <ref>NORD</ref>
* Symptoms start with Slowly developing dysarthria and cerebellar truncal ataxia and then to progressive dementia
*[[Myoclonus entities|Myoclonus]]  
* In the early stages people exhibit clumsiness and walking difficulties, then ataxia  comes
* Loss of memory can be the first symptom of GSS.
* Extrapyramidal and pyramidal symptoms  may mimic spinocerebellar ataxia
* Myoclonus is less frequently seen than in CJD
* Many patients also exhibit nystagmus, visual disturbances, and even blindness or deafness.
* Paralysis: ''[[Paraplegia]] / [[Paraparesis]]''
* '''Seizures'''




=== Types ===


=== Initial symptoms  ===
* Four clinical phenotypes are recognized:  
* Paralysis: '', [[Paraplegia]] / [[Paraparesis]]''
*# Typical GSS
* Visual disturbances/  Blindness
*# GSS with areflexia and paresthesia
* '''Seizures'''
*# Pure dementia GSS
* Movements disorders such as Jerking, '''Myoclonus'''
*# [[CJD, Creutzfeldt Jakob Disease|CJD]]-like GSS
*Deafness: Less commonly, '''hearing loss''' or deafness will develop




=== [[Athetosis miasms|Athetosis]] ===
=== Diseases ===
*Slow, writhing, involuntary movements
*Typicaly includes progressive '''[[Cerebellar ataxia]]''' + [[Pyramidal system|Pyramidal tract signs]] +  + , +  + '''[[Dysesthesia]]'''


=== Depression ===


* '''Hypomimia''' or '''Masked''' '''faces''': Reduced degree of facial expression / Emotion
* [[bradyphrenia]]


==== Research ====
* In my research, GSS is the best remedy of [[Alzheimer disease]], because of Memory weakness + [[Psychosis]]/ Behavioral change + Impaired ''Concentration + Depression''


==== [[Dementia]] ====
=== [[Pyramidal system|Pyramidal signs]] / [[Upper motor neuron, UMN|UMN]] ===
 
* Cognitive dysfunction leading to [[bradyphrenia]]
*'''Cognition impairment''' such as problems in thinking, remembering, reasoning, imagining and processing thoughts which leads to Dementia<ref>NORD Gratefully acknowledges Pawel P. Liberski, MD, PhD, Department of Molecular Pathology and Neuropathology, Medical University of Lodz, Lodz, Poland, for assistance in the preparation of this report.</ref>
* In my research, GSS is the best remedy of [[Alzheimer disease]], because of Memory weakness + [[Psychosis miasms|Psychosis]]/ Behavioral change + Impaired ''Concentration + Depression''
 
 
=== [[Cerebellar ataxia miasms|Cerebellar Ataxia]] ===
 
* [[Nystagmus]]
* Progressive [[Ataxia]] / Incoordination may present as unsteadiness, difficulty '''walking''', and '''clumsiness''' /Awkwardness
* '''Ocular dysmetria: Difficulties judging distance or scale'''
* Slurred speech which progress to severe Spastic [[Dysarthria]]  with [[UMNS, Upper Motor Neuron Syndrome entities|UMN]] origin
 
 
 
=== [[Pyramidalism|Pyramidal signs]] / [[UMNS, Upper Motor Neuron Syndrome entities|UMN]] ===


==== [[Corticospinal tract]]  ====
==== [[Corticospinal tract]]  ====


* [[Spasticity miasms|Spasticity]] / ''[[Spastic Paralysis]]''  
* [[Spasticity]] / ''Spastic Paralysis''
* [[Hyper reflexia|Hyper Reflexia]]
* [[Hyper reflexia|Hyper Reflexia]]


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* '''Paralysis''' of certain '''cranial nerves'''  
* '''Paralysis''' of certain '''cranial nerves'''  
* [[Pseudobulbar palsy|Pseudobulbar paralysis]]
* [[Pseudobulbar palsy|Pseudobulbar paralysis]]
** [[Dysphagia remedies|Dysphagia]]
** [[Dysphagia]]
** [[Dysarthria]] / Speech difficult
** [[Dysarthria]] / Speech difficult
** [[Pseudobulbar affect|Emotional lability]] / [[Pseudobulbar affect]]
** [[Pseudobulbar affect|Emotional lability]] / [[Pseudobulbar affect]]
** [[Hyper reflexia|Hyper Reflexia]]
** [[Hyper reflexia|Hyper Reflexia]]
** [[Spasm miasms|Spasm]]
** [[Spasm]]


=== Remedies ===
=== Remedies ===
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#  
#  
#  
#  
#
#
#[[Phos, Phosphorus|Phos]], [[Agar, Agaricus Muscarius|Agar]], [[Caust, Causticum|Caust]], [[Lach, Lachesis Mutus|Lach]], [[Con, Conium Maculatum|Con]]
#[[Phos, Phosphorus|Phos]], [[Agar, Agaricus Muscarius|Agar]], [[Caust, Causticum|Caust]], [[Lach, Lachesis Mutus|Lach]], [[Con, Conium Maculatum|Con]]
# Plb, Arg-n, Cocc, Calc, Sul, Stram , Nux-v
# [[Plb, Plumbum Metallicum|Plb]], [[Arg-n, Argentum Nitricum|Arg-n]], [[Cocc, Cocculus Indicus|Cocc]], [[Calc-c, Calcerea carbonica|Calc]], [[Sul , Sulphur|Sul]], [[Stram, Stramonium|Stram]] , [[Nux-v , Nux Vomica|Nux-v]]

Latest revision as of 09:25, 26 September 2023

Clinic

  • GSS is an extremely rare, fatal neurodegenerative disease
  • It also classified with the transmissible spongiform encephalopathies (TSE) due to the causative role of prion protein.
  • It is a prion miasm
Entities Sign / Symptoms Diseases
Dysarthria Pseudobulbar paralysis
Emotional lability / Pseudobulbar affect
Hyper Reflexia
Spasm
Absent tendon reflexes. [1]
Myoclonus Parkinsonism
  • Tremor
  • Spasticity: Rigid muscle tone and progressive muscle stiffness and weakness, causing abnormal, writhing movements
  • Bradykinesia: abnormal slowness of movement [2]
  • Myoclonus
Spasticity
Ext, Tremor
Athetosis Slow, writhing, involuntary movements
Depression
  • Hypomimia or Masked faces: Reduced degree of facial expression / Emotion
 Depression
Bradyphrenia
Cognition impairment such as problems in thinking, remembering, reasoning, imagining and processing thoughts.[3] leading to bradyphrenia
Nystagmus

Cerebellar Ataxia

Spastic Dysarthria UMN origin
Extremities Incoordination
Ataxia Progressive Ataxia / Incoordination may present as unsteadiness, difficulty walking, and clumsiness /Awkwardness
Ocular dysmetria Difficulties judging distance or scale

Sign / Symptoms

Common symptoms are

  • Pyramidal signs
  • Symptoms start with Slowly developing dysarthria and cerebellar truncal ataxia and then to progressive dementia
  • In the early stages people exhibit clumsiness and walking difficulties, then ataxia comes
  • Loss of memory can be the first symptom of GSS.
  • Extrapyramidal and pyramidal symptoms may mimic spinocerebellar ataxia
  • Myoclonus is less frequently seen than in CJD
  • Many patients also exhibit nystagmus, visual disturbances, and even blindness or deafness.
  • Paralysis: Paraplegia / Paraparesis
  • Seizures


Types

  • Four clinical phenotypes are recognized:
    1. Typical GSS
    2. GSS with areflexia and paresthesia
    3. Pure dementia GSS
    4. CJD-like GSS


Diseases


Research

  • In my research, GSS is the best remedy of Alzheimer disease, because of Memory weakness + Psychosis/ Behavioral change + Impaired Concentration + Depression

Pyramidal signs / UMN

Corticospinal tract

Corticobulbar tract

Remedies

  3. Phos, Agar, Caust, Lach, Con
  4. Plb, Arg-n, Cocc, Calc, Sul, Stram , Nux-v
  1. ↑ Zhao MM, Feng LS, Hou S, Shen PP, Cui L, Feng JC. Gerstmann-Sträussler-Scheinker disease: A case report. World J Clin Cases. 2019 Feb 6;7(3):389-395. doi: 10.12998/wjcc.v7.i3.389. PMID: 30746381; PMCID: PMC6369391.
  2. ↑ NORD
  3. ↑ NORD Gratefully acknowledges Pawel P. Liberski, MD, PhD, Department of Molecular Pathology and Neuropathology, Medical University of Lodz, Lodz, Poland, for assistance in the preparation of this report.
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