The Enigma of Lewy Body Dementia: a Case Report (CROSBI ID 293656)
Prilog u časopisu | ostalo
Podaci o odgovornosti
Orlović, Ivona ; Bartolović, Matija ; Marušić, Katarina ; Vlahović, Darko ; Šiško Markoš, Ines ; Karlović, Dalibor ; Peitl, Vjekoslav
engleski
The Enigma of Lewy Body Dementia: a Case Report
Lewy 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 admin-istering 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 diag- nostic 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 exac-erbation of the patient’s psychological functions.
Lewy body disease ; cognitive dysfunction ; hallucinations ; Parkinsonian disorders ; cholin-esterase inhibitors ; dementia
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
Podaci o izdanju
59 (4)
2020.
771-775
objavljeno
0353-9466
1333-9451
10.20471/acc.2020.59.04.27
Povezanost rada
Kliničke medicinske znanosti