A case of fatal familial insomnia: diagnostic and therapeutic approaches. Issue 1 (2nd January 2022)

• Record Type: Journal Article
• Authors: Rose, Deborah K.; Liu, Andy J.
• Is Part Of: Neurocase. Volume 28:Issue 1(2022)
• Page Start: 131
• Page End: 134
• Publication Date: 2022-01-02
• Subjects: Prion disease -- FFI -- fatal familial insomnia; Neurology -- Periodicals; Neuropsychology -- Case Report; Mental Disorders -- Case Report; Nervous System Diseases -- Case Report; 616.8
• DOI: 10.1080/13554794.2021.2025249
• Languages: English
• ISSNs: 1355-4794

Abstract

ABSTRACT: Fatal Familial Insomnia (FFI) is an uncommon but fatal genetic condition that is characterized by severe progressive insomnia, dysautonomia, neuropsychiatric changes, and gait instability. Diagnostic workup includes genetic testing, EEG, MRI imaging of the brain, polysomnography, and CSF analysis. MRI brain imaging may be notable for areas of restricted diffusion in the thalamus. Therapeutic approaches are centered on symptom management, predominantly for insomnia. It is important for clinicians to consider FFI in patients presenting with progressive insomnia, cognitive deficits, and gait instability, and to direct patients and families toward genetic counseling and palliative care services.