Diagnosing dementia with Lewy bodies: new diagnostic criteria

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Diagnostic accuracy of dementia with Lewy bodies.

BACKGROUND Diagnostic criteria for dementia with Lewy bodies (DLB) are still evolving. No data exist on prospective differentiation of DLB and Alzheimer disease (AD). OBJECTIVE To examine the clinician's diagnostic accuracy for DLB and analyze factors contributing to false-positive DLB diagnoses. METHODS A prospective series of 10 patients with clinically diagnosed DLB who came to autopsy w...

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Dementia with Lewy bodies.

The advent of new immunostains have improved the ability to detect limbic and cortical Lewy bodies, and it is evident that dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia, after Alzheimer's disease (AD). Distinguishing DLB from AD has important implications for treatment, in terms of substances that may worsen symptoms and those that may improve them. Neuroc...

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Dementia with Lewy bodies.

Dementia with Lewy bodies (DLB) is the second most common diagnosis of dementia after Alzheimer disease (AD). The essential pathologic feature is the Lewy body, a neuronal inclusion containing α-synuclein, found in brainstem nuclei and the neocortex. Clinical features include early fluctuations in attention, hallucinations, and parkinsonism, with progression to a combined cortical and subcortic...

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Dementia with Lewy bodies.

In the last decade, a new degenerative dementia, probably the second most common after Alzheimer's disease (AD), has been increasingly recognized under the consensus name of dementia with Lewy bodies (DLB). This article reviews current clinical, genetic, and pathological DLB data and indicates directions for future research. DLB overlaps in clinical, pathological, and genetic features with AD a...

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Dementia with Lewy bodies.

DLB is one of several causes of dementia. The most common cause is Alzheimer's disease, which is an entirely separate neurodegenerative disease. Vascular dementia is the second most common cause of dementia, and here the pathological changes are due to stroke and to related changes that impair blood circulation in the brain. DLB is the third most common cause. Changes of all three disorders can...

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ژورنال

عنوان ژورنال: Journal of the Royal College of Physicians of Edinburgh

سال: 2018

ISSN: 1478-2715,2042-8189

DOI: 10.4997/jrcpe.2018.110