A 60 yr old man with C/O progressive dementia for the past 6 months with intermittent jerky movement involving whole body from 2 days. EEG showed sharp bipolar spikes. Diagnosis is
High-Yield Explanation
EEG findings... 1) Periodic sharp wave complex = Creutz feldt kacob disease 2) periodic lateralizing discharge =Herpes simplex encephalitis Ref Harrison20th edition pg 2456