Question 479
{"accessible":true,"alternatives":[{"id":2407,"text":"autoimmune encephalitis"},{"id":2408,"text":"Creutzfeldt-Jakob disease"},{"id":2409,"text":"hypoglycaemic encephalopathy"},{"id":2410,"text":"subacute necrotising encephalomyelopathy "},{"id":2411,"text":"Wilson disease"}],"archived":false,"correctAlternativeId":2408,"explanation":"\u003cp\u003eAlthough all the alternatives are causes of high T2 signal in the basal ganglia, rapid dementia in an adult with prominent restricted diffusion is characteristic of CJD.\u003c/p\u003e","id":479,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/780/images-for-mcqs-1__1__big_gallery.jpeg","imageAttribution":{"kind":"case","rID":43677},"imageAttributionCaseInfo":{"title":"Creutzfeldt-Jakob disease","contributor_name":"Frank Gaillard","contributor_param":"frank","case_rid":43677,"case_param":"creutzfeldt-jakob-disease-2"},"firstQuestionPath":"/questions/2591","nextQuestionPath":null,"relatedArticles":[{"id":7269,"title":"Creutzfeldt-Jakob disease","link":"/articles/creutzfeldt-jakob-disease?lang=gb"},{"id":969,"title":"Basal ganglia T2 hyperintensity","link":"/articles/basal-ganglia-t2-hyperintensity?lang=gb"},{"id":1575,"title":"Leigh syndrome","link":"/articles/leigh-syndrome-3?lang=gb"},{"id":12686,"title":"Autoimmune encephalitis","link":"/articles/autoimmune-encephalitis?lang=gb"},{"id":39667,"title":"Wilson disease (CNS manifestations)","link":"/articles/wilson-disease-cns-manifestations-1?lang=gb"}],"alsoUsedIn":[],"stem":"\u003cp\u003eA 55-year-old woman, previously well, presents with\u0026nbsp;4-month history of rapid decline in cognitive function. She is imaged with an MRI. \u0026nbsp;What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/479"}],"attemptsPercentages":[{"alternativeId":"2407","percentage":9},{"alternativeId":"2411","percentage":18},{"alternativeId":"2410","percentage":4},{"alternativeId":"2408","percentage":59},{"alternativeId":"2409","percentage":9}],"promptToLogin":false,"questionManager":false,"articleId":"hypoglycaemic-encephalopathy"}