Dementia with Lewy bodies

Revisión del 22:13 18 mar 2017 de Unenthusiastic (discusión | contribs.) (Created page with "==Background== *Neurodegenerative disorder (dementia) *More rapid progression than Alzheimer's or Parkinson's ==Clinical Features== *fluctuating cognition *recurrent visua...")
(difs.) ← Revisión anterior | Revisión actual (difs.) | Revisión siguiente → (difs.)

Background

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

Clinical Features

  • fluctuating cognition
  • recurrent visual hallucinations
  • Parkinsonian motor symptoms (cogwheel rigidity, shuffling gait, retropulsion)
  • REM-sleep disturbance
  • Neuroleptic sensitivity, increased risk for neuroleptic malignant syndrome
    • Acute worsening of cognition or delirium, with antipsychotics, benzodiazepines, anticholinergics, surgical anesthetics

Differential Diagnosis

Evaluation

Management

  • Avoid neuroleptics and anticholinergics
  • Supportive care, symptom management

Disposition

See Also

External Links

References