- Creutzfeldt-Jakob disease (CJD) is a rare and rapidly progressive neurodegenerative brain disorder.
- CJD is classified into sporadic, genetic, and acquired forms; the acquired form can rarely occur following medical procedures involving infected tissue.
- It is understood that abnormally folded prion proteins induce the misfolding of normal proteins and cause neuronal damage.
- Typical manifestations include rapidly progressive memory loss, behavioral changes, visual disturbances, and decreased muscle coordination.
- Most cases occur without a clear cause, but in familial forms, family history is significant, and specific exposure to medical tissues may be associated with acquired risk.
- Symptoms usually begin in old age and rapidly progress to dementia and coma, with most patients dying within one year.
- The diagnosis follows a broad framework that synthesizes medical history and neurological examination with MRI, EEG, cerebrospinal fluid testing, etc., and confirms via brain tissue pathology if necessary.
- It is difficult to confirm with a single test alone, and since similar rapidly progressive dementias or metabolic/inflammatory diseases must be excluded, integrated interpretation by a specialist is required.
- The center of management is multidisciplinary support, including safety, communication, nutrition, symptom control, prevention of complications, and care/palliative care for the patient and family.
- In current clinical management, the focus is on supportive care and symptom relief rather than standard treatments that definitively stop disease progression.