Understanding Creutzfeldt-Jakob Disease (CJD): Symptoms, Causes, Diagnosis, and Treatment

Creutzfeldt-Jakob Disease (CJD) is a very rare brain disorder that causes rapid mental decline and death. It is not related to mad cow disease or variant CJD, which are different conditions. CJD destroys brain cells, making the brain appear sponge-like under a microscope. Most people with CJD die within a year of developing symptoms.

Causes of Creutzfeldt-Jakob Disease

There are three types of CJD, each with a different cause:

  1. Sporadic CJD: The most common type, caused by the abnormal folding of prion proteins in the body. Scientists do not know why this happens.

  2. Familial CJD: Caused by inheriting a faulty gene from a parent. This accounts for 10-15% of CJD cases each year.

  3. Acquired CJD: The rarest form, caused by contact with infected medical instruments, organs, or growth hormones. This accounts for less than 1% of CJD cases.

Symptoms of Creutzfeldt-Jakob Disease

Symptoms of CJD develop and worsen rapidly. Common signs include:

  • Confusion

  • Difficulty walking

  • Jerky muscle movements or twitching

  • Personality changes

  • Memory and judgment problems

  • Vision issues

Some people with CJD may also experience sleep disturbances or depression. As the disease progresses, individuals may lose the ability to speak or move, develop pneumonia or other infections, or fall into a coma.

Diagnosing Creutzfeldt-Jakob Disease

There is no single test for CJD. Doctors diagnose the condition based on symptoms and the rapid progression of the disease. Tests that may help with diagnosis include:

  • Magnetic Resonance Imaging (MRI) to detect changes in the brain over time

  • Electroencephalogram (EEG) to measure electrical activity in the brain

  • Lumbar puncture (spinal tap) to test for certain proteins in the spinal fluid

A definitive diagnosis of CJD can only be made through a brain biopsy or autopsy. However, brain biopsies are rarely performed due to the risks involved for both the patient and the doctor.

Treatment for Creutzfeldt-Jakob Disease

Currently, there are no effective treatments for CJD. Researchers have tested several drugs, but none have been able to slow or stop the disease. Treatment focuses on managing symptoms and providing comfort. Doctors may prescribe pain medication, muscle relaxers, or anti-seizure drugs to help with stiffness. In the late stages of the disease, individuals with CJD require full-time care.

Additional Resources