A 30-year-old member asked:
who gets dementia with lewy bodies?
4 doctor answers
Dr. Bennett Machanic answered
51 years experience Neurology
Parkinsons & Lewy: Dementia with lewy bodies can be seen in patients with Parkinson's disease, usually appearing about 2 or more yrs following the tremor onset. Alternatively, some patients seem to present first with the dementia and later the parkinsons signs. Both groups are younger than patients with alzheimer's disease, are far more often males, and may have some loose genetic susceptibilities.
Answered on Feb 18, 2015
Dr. Susan Uhrich answered
35 years experience Psychiatry
Lewy body dementia's: Cause is not yet known. There seem to be multiple factors involved such as genetics, pesticide exposure and head trauma.
Answered on Feb 8, 2020
Cannot predict, but: Neurodegenerative d/o seen in eldery. Second most common dementia behind ad. Has milder physical parkinsonism vs parkinson's disease typically. (slowed movement, stiff/rigid muscles, possibly resting tremor). But with early dementia & associated psychosis (visual hallucinations), excessive sleepiness, depression, anxiety, apathy & rbd = rem behavior d/o, causing acting-out of dreams in rem sleep.
Answered on May 6, 2018
BUT, Rx available!!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil.
Answered on Jun 25, 2014
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