Presentation
Rapidly progressive dementia, fluent aphasia and gait disturbance.
Patient Data
Age: 60 years
Gender: Female
From the case:
Sporadic Creutzfeldt-Jakob disease
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A pattern of diffusion restriction is seen in bilateral caudate nucleus, frontoparietal, temporal and insular cortex, known as cortical ribbon sign.
Case Discussion
Cortical and basal ganglia (mainly caudate and putamen) increased signal on DWI is the most sensitive clinical diagnostic test in the appropiate clinical setting.
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