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THE ENIGMA OF LEWY BODY DEMENTIA: A CASE REPORT.
| Content Provider | Europe PMC |
|---|---|
| Author | Orlović, Ivona Bartolović, Matija Marušić, Katarina Vlahović, Darko Šiško Markoš, Ines Karlović, Dalibor Peitl, Vjekoslav |
| Copyright Year | 2020 |
| Abstract | SUMMARYLewy body dementia is a progressive neurodegenerative disease and is considered to be the second most common cause of dementia in the elderly. Because of the complexity of clinical presentation, it is often misdiagnosed and mistaken for other dementias, which may result in administering inappropriate therapy, and thus worsening of the patient condition. We reviewed a case of a 71-year-old patient whose clinical presentation gradually occurred with complex visual hallucinations, atypical extrapyramidal motor symptoms, fluctuating cognitive impairments with delirious episodes, and oscillating syncope. Depressive mood, impaired daily functioning and sensitivity to antipsychotics were also noted. Extensive diagnostic workup was performed with neuropsychological testing and use of single-photon emission computerized tomography. Considering the clinical presentation and diagnostic procedures performed, the diagnosis of Lewy body dementia was set and pharmacotherapy was revised. We discuss the importance of taking overall clinical presentation and diagnostic treatment in consideration and applying appropriate therapy to slow down the progression of the disease and exacerbation of the patient’s psychological functions. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8253061&blobtype=pdf |
| ISSN | 03539466 |
| Journal | Acta Clinica Croatica [Acta Clin Croat] |
| Volume Number | 59 |
| DOI | 10.20471/acc.2020.59.04.27 |
| PubMed Central reference number | PMC8253061 |
| Issue Number | 4 |
| PubMed reference number | 34285451 |
| e-ISSN | 13339451 |
| Language | English |
| Publisher | Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research |
| Publisher Date | 2020-12-01 |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License. |
| Subject Keyword | Lewy body disease Cognitive dysfunction Hallucinations Parkinsonian disorders Cholinesterase inhibitors Dementia |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
