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S.M.S. Hayreh, MD; D.E. McDonnell, MD; C.A. Aschenbrener, MD
Dept of Neurol Univ of Iowa Hospitals Iowa City, IA 52242

Arch Neurol. 1979;36(3):179-180.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

We describe a patient with coincident Creutzfeldt-Jakob disease (CJD) and frontal meningioma in whom the presence of a mass lesion was thought to account for the patient's symptoms and delayed the diagnosis of CJD.

Report of a Case.—

A 78-year-old woman had a rapid onset of bifrontal headaches, with progressive dementia and ataxic gait without incontinence. Examination showed inappropriate behavior, shuffling gait, no papilledema, and mild left-sided weakness without Babinski's signs. Skull roentgenograms disclosed a 4 x 4 x 4-cm mineralized spherical lesion in the right frontal region, which on angiography was seen as

Fig 1.—Right carotid angiogram showing right-sided rounded calcified avascular mass, with shift of anterior cerebral artery to left side of midline.

Fig 2.—Microphotograph of cerebral cortex showing spongiform changes and neuronal degeneration (hematoxylin-eosin stain, x250). an avascular mass shifting the anterior cerebral artery to the left (Fig 1). A meningioma was removed. Postoperatively . . . [Full Text PDF of this Article]

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