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Diagnostic Review & Medicine Management of Dementia with Lewy Bodies

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The American Academy of Neurology has granted permission to use this article.

Reprinted with permission from Bradley Boeve. Dementia with Lewy Bodies. In: Dementia. Continuum: Lifelong Learning in Neurology 2004;10(1):81-112. Copyright (c) 2004, AAN Enterprises, Inc.

Abstract:  The diagnosis and management of patients with dementia with Lewy bodies (DLB) are challenging. This chapter will (1) review the terms and nomenclature associated with DLB and Lewy body disease (LBD), (2) review which studies are most informative in the diagnostic workup of suspected DLB, (3) review the clinical, neuropsychologic, electrophysiologic, and radiologic features characteristic of DLB, (4) review the spectrum of features and disorders that can precede the development of DLB, (5) review the key management strategies most likely to improve symptomatology in patients with DLB, and (6) discuss some of the controversies and uncertainties in DLB phenomenology.

This article:

  • Reviews terms associated with DLB and LBD,
  • Reviews which studies are most informative in the diagnostic workup of suspected DLB,
  • Reviews neuropsychological, electrophysiologic and radiologic characteristics of DLB,
  • Reviews range of features and disorders that can precede the development of DLB,
  • Reviews key management strategies most likely to improve symptomatology in DLB patients, and a Discussion on some of the controversies and uncertainties in DLB phenomenology.

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