Dramatic Improvement Followed by Rapid Deterioration after Glucocorticoid Pulse Therapy in a Case of Sporadic Creutzfeldt-Jakob Disease with Hashimoto's Encephalopathy Features: A Case Report
This case report describes a patient with sporadic Creutzfeldt-Jakob disease (CJD) who initially presented with Hashimoto's encephalopathy features and showed dramatic but transient improvement following glucocorticoid pulse therapy before rapid deterioration, ultimately confirming the CJD diagnosis through positive 14-3-3 protein and RT-QuIC assays.