We describe the MRI changes preceding the onset of myoclonus in two pa
tients whose post-mortem examination confirmed the diagnosis of Creutz
feldt-Jakob disease (CJD). MRI showed changes in the striatum early in
the course of CJD (2-6 months after the onset of apathy, interpreted
as depression, and 1-2 months before the onset of further clinical sym
ptoms). Only in one patient did electroencephalography record the typi
cal triphasic sharp-waves, 1 month after MRI.