# Role of Stress as a Precipitating Factor of Creutzfeldt-Jakob Disease: A Case Series

**Authors:** Rita Relvas, Cassiana Vasconcelos, André Buinho, Nuno Monteiro, Sandra Castro Sousa

PMC · DOI: 10.7759/cureus.98829 · Cureus · 2025-12-09

## TL;DR

This paper presents two cases suggesting that psychological stress may play a role in triggering Creutzfeldt-Jakob disease, a rare and often misdiagnosed neurological disorder.

## Contribution

The study highlights a potential link between psychological stress and the onset of Creutzfeldt-Jakob disease through clinical case observations.

## Key findings

- Two clinical cases suggest a possible role of psychological stress in the onset of Creutzfeldt-Jakob disease.
- The disease is frequently misdiagnosed and has a challenging differential diagnosis.
- No effective interventions currently exist for preventing or reducing the impact of the disease.

## Abstract

Easily mistaken for multiple neurological and psychiatric pathologies, Creutzfeldt-Jakob disease (CJD) is still underdiagnosed, with a difficult, late, and often retrospective recognition. Furthermore, its pathophysiology is poorly understood, and to date, no intervention has proven effective in its prevention or associated morbidity and mortality. The authors present a series of two clinical cases that not only expose its natural history and challenging differential diagnosis but also warn of a potential impact of psychological and stressful factors in its predisposition and/or precipitation.

## Linked entities

- **Diseases:** Creutzfeldt-Jakob disease (MONDO:0005357)

## Full-text entities

- **Diseases:** neurological and (MESH:D009461), psychiatric pathologies (MESH:D001523), CJD (MESH:D007562), Stress (MESH:D000079225)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12782648/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC12782648/full.md

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Source: https://tomesphere.com/paper/PMC12782648