Naslov
The Enigma of Lewy Body Dementia: a Case Report

Autori
Orlović, Ivona ; Bartolović, Matija ; Marušić, Katarina ; Vlahović, Darko ; Šiško Markoš, Ines ; Karlović, Dalibor ; Peitl, Vjekoslav

Izvornik
Acta clinica Croatica (0353-9466) 59 (2020), 4; 771-775

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
Lewy body disease ; cognitive dysfunction ; hallucinations ; Parkinsonian disorders ; cholin-esterase inhibitors ; dementia

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA