A member asked:

What are the symptoms of dementia with lewy bodies?

6 doctors weighed in across 4 answers

Lewy Body dementia: Lewy bodies are particular types of brain damage, and most often are concentrated in the frontal lobes. Dementia that starts in this brain area is often associated with personality change, motor problems, mood instability, and social inappropriateness, at least initially. Eventually memory loss and global cognitive deficits appear.

Answered 5/7/2016

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Dr. Susan Uhrich answered

Specializes in Psychiatry

Lewy body dementia: Is a type of cognitive decline hallmarked by recurrent visual hallucinations, spontaneous extrapyramidal symptoms, and cognitive fluctuations.

Answered 5/7/2016

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Brief Details.......: Neurodegenerative d/o featuring milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations, delusional thoughts), excessive sleepiness, depression/anxiety/apathy, & rbd. Rbd = rem behavior d/o, causing acting-out of dreams in rem sleep.

Answered 12/9/2013

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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 6/25/2014

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