Evidence map›Paper›PMID 41994678›Full record

ArticleCureus2026

When Thiamine Is Not the Answer: Sporadic Creutzfeldt-Jakob Disease Mimicking Wernicke's Encephalopathy.

Carlos Fagundo, Catherine Xu, Reyleen Loreto, Hazem Abugrara

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Carlos FagundoInternal Medicine, Baycare Health System, Tampa, USA.
Catherine XuInternal Medicine, Baycare Health System, Tampa, USA.
Reyleen LoretoInternal Medicine, Baycare Health System, Tampa, USA.
Hazem AbugraraHospital Medicine, Baycare Health System, Tampa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Creutzfeldt-Jakob disease (CJD) is a rare and rapidly progressive neurodegenerative disorder caused by the accumulation of misfolded prion proteins, resulting in neuronal damage. It can present with symptoms that mimic other neurological conditions, which can complicate early diagnosis. We report a case of a 58-year-old male who presented with cognitive decline, motor dysfunction, and behavioral changes following alcohol cessation, initially resembling Wernicke's encephalopathy. As his condition progressed, he developed nonconvulsive status epilepticus, and subsequent diagnostic workup demonstrated cortical diffusion restriction on MRI together with a positive real-time quaking-induced conversion (RT-QuIC) assay and elevated cerebrospinal fluid (CSF) 14-3-3 protein levels, confirming the diagnosis of CJD. This report highlights the diagnostic difficulties associated with prion diseases, where early symptoms may overlap with more treatable neurological conditions, and underscores the importance of considering prion disease in cases of rapidly progressive dementia that do not respond to thiamine therapy.

Indexed as

alcohol use disorder (aud)creutzfeldt–jakob diseaseencephalopathyprion diseaserapidly progressive dementia

Identifiers

PMID41994678
PMCPMC13082889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.