involuntary movement of lower extremities, and the symptoms of delirium.
On mental status examination, he showed psychomotor retardation, speech disturbance,
perseveration, disorientation, impairement of short-term and long-term memory, and
inability of abstract thinking.
He had a rapid downhill course, along with shakiness of trunk, rigidity of the limbs,
myoclonus, confusion, and finally, inability to speak or move on the bedside.
On electroencephalogram(EEG), continuous multifocal slow delta activities were found in all leads, especially in the right frontal areas. Brain biopsy showed, spongiosis with neuronal loss and gliosis noted at the cerebral cortex. These findings were compatible with Creutzfeldt-jacob disease.
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