Dementia with Lewy bodies: Difference between revisions

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==Background==
==Background==
*Neurodegenerative disorder (dementia)
*Neurodegenerative disorder (dementia)
*More rapid progression than Alzheimer's or Parkinson's
*More rapid progression than Alzheimer's or [[Parkinson's disease]]
==Clinical Features==
==Clinical Features==
*[[fluctuating cognition]]
*Fluctuating cognition
*recurrent visual hallucinations  
*Recurrent visual [[hallucinations]]
*Parkinsonian motor symptoms (cogwheel rigidity, shuffling gait, retropulsion)
*Parkinsonian motor symptoms (cogwheel rigidity, shuffling gait, retropulsion)
*REM-sleep disturbance  
*REM-sleep disturbance  
*Neuroleptic sensitivity,  increased risk for [[neuroleptic malignant syndrome]]
*Neuroleptic sensitivity,  increased risk for [[neuroleptic malignant syndrome]]
**Acute worsening of cognition or delirium, with antipsychotics, benzodiazepines, anticholinergics, surgical anesthetics
**Acute worsening of cognition or delirium, with [[antipsychotics]], [[benzodiazepines]], [[anticholinergics]], surgical anesthetics
==Differential Diagnosis==
==Differential Diagnosis==
*[[Parkinson's disease]]
===Dementia Acronym===
*[[Alzheimer's disease]]
D = drug-induced
*[[Delirium]]
 
E = emotions (depression especially)
 
M = metabolic and endocrine issues
 
E = eyes and ears (sensory problems)
 
N = nutritional issues (B12 and Vit. D)
 
T = tumors
 
I = infections
 
A = alcohol
 
S = sleep disorders and rarely seizures
 
{{Dementia DDX}}
 
==Evaluation==
==Evaluation==
*See [[Dementia Work-Up]]


==Management==
==Management==
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==See Also==
==See Also==
 
*[[Altered Mental Status]]
*[[Dementia]]
*[[Dementia Work-Up]]
==External Links==
==External Links==



Latest revision as of 17:56, 27 March 2017

Background

  • Neurodegenerative disorder (dementia)
  • More rapid progression than Alzheimer's or Parkinson's disease

Clinical Features

Differential Diagnosis

Dementia Acronym

D = drug-induced

E = emotions (depression especially)

M = metabolic and endocrine issues

E = eyes and ears (sensory problems)

N = nutritional issues (B12 and Vit. D)

T = tumors

I = infections

A = alcohol

S = sleep disorders and rarely seizures

Dementia

Evaluation

Management

  • Avoid neuroleptics and anticholinergics
  • Supportive care, symptom management

Disposition

See Also

External Links

References