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Doctor insights on: Dementia With Lewey Bodies

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Who gets dementia with Lewy bodies?

Who gets dementia with Lewy bodies?

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. ...Read more

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Dr. Maureen Nash
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Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older ...Read more


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Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

Eventually, yes: Lbd is not the same as alzheimers. However, there also is no cure, and it is progressive - either slow or rapid. So, it is terminal but an average life expectancy after DX is 5-7 yrs. The worst of it is that the symptoms are quite difficult to manage and few families can avoid residential care. Here's a link: http://www.Lbda.Org/content/role-palliative-and-hospice-care-in-lbd. Hope you find help! ...Read more

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Is Lewy bodies dementia terminal?

Is Lewy bodies dementia  terminal?

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. ...Read more

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Visual hallucination with Lewy bodies?

Visual hallucination with Lewy bodies?

Good 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. ...Read more

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What is Lewy bodies dementia?

What is Lewy bodies dementia?

Clinical Features: Neurodegenerative, progressive d/o with  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=rem behavior d/o, causing acting-out of dreams in rem sleep. ...Read more

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Is Lewy bodies dementia the same thing as alzheimers?

Is Lewy bodies dementia the same thing as alzheimers?

Different pathology: 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. ...Read more

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Donepezil effectiveness for vascular and Lewy body dementia?

Donepezil  effectiveness for vascular and Lewy body dementia?

Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read more

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What type of mutation causes dementia with lewd bodies?

What type of mutation causes dementia with lewd bodies?

Allele, not a mutant: It's not well understood, but often appears in those w/ Parkinson's, so a link with the PARK11 gene has been studied. Like Alzheimer's or Parkinson's, most cases since not all end up w/ it LBD is not thought to be strongly inheredited. Yet LBD risk is heightened w/ inheritance of an allele. Info here: https://en.wikipedia.org/wiki/Dementia_with_Lewy_bodies ...Read more

Dr. Alvin Lin Dr. Lin
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What is the difference between Alzheimer's and dementia with Lewy bodies?

Dr. Alvin Lin Dr. Lin
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What is the difference between Alzheimer's and dementia with Lewy bodies?

Hallucinations etc: Both Alzheimer's disease (AD) & dementia w/Lewy bodies (DLB) are different types of dementia w/memory loss in common. DLB presents w/hallucinations earlier in its course compared to AD. DLB also has Parkinsonian features such as tremors & stiffness early on while Parkinson's disease presents in reverse. Check out http://www.alz.org/health-care-professionals/differential-diagnosis-lewy-bodies.asp ...Read more

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Can phosphatidylserine improve memory and cognitive function in people with Alzheimer's disease?

Can phosphatidylserine improve memory and cognitive function in people with Alzheimer's disease?

Phosphatidylserine (fos-fuh-tie-dul-SER-een) is a dietary supplement that has received some interest as a potential treatment for Alzheimer's disease and other memory problems: Several studies with phosphatidylserine indicate improved cognitive abilities and behaviors. However, improvements lasted only a few months and were seen in people with the least severe symptoms. Initially, phosphatidylserine supplements were derived from the brain cells of cows. But because of concerns about mad cow disease, most manufacturers now produce the supplements from soy or cabbage derivatives. Preliminary studies have shown that plant-based phosphatidylserine supplements may also offer benefits, but more research is needed. However, no modern studies have continued to focus on phosphatidylserine, suggesting its limited effect. Keep in mind that the Food and Drug Administration doesn't require manufacturers to provide evidence of the potential risks and benefits of phosphatidylserine — or of any supplement. Consult your doctor before starting any dietary supplement. ...Read more

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What predisposes someone to Lewy body dementia?

What predisposes someone to Lewy body dementia?

Lewy Body risk: We don't have a clear answer for this yet. About 10% of cases are a familial variant and are directly inherited from one parent. The rest may be related to a combination of genes and environmental factors. But the main associated brain change (presence of clumps of alpha-synuclein protein) are also seen in other types of dementia, and so the underlying cause may be similar. ...Read more

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What is the life expectancy for an 83 year old man with diagnoses of alzheimer's, parkinson's, and lewey bodies dementia?

What is the life expectancy for an 83 year old man with diagnoses of alzheimer's, parkinson's, and lewey bodies dementia?

Depends: Depending on how severe the above conditions are, and what other medical problems he has, it may be anywhere from 6 weeks to 5+ years. For your loved ones, particularly if they are mentally incapacitated, you would want to address end of life issues such as would they want to be maintained on a respirator, live in a nursing home etc. A social worker can help you with that. ...Read more

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How are visual impairments diagnosed in people with dementia?

How are visual impairments diagnosed in people with dementia?

Optometrist: Like anyone else, people with dementia should be routinely evaluated by an optometrist. Dementia sufferers at an elevated risk for visual problems, given shared risk factors (age, vasculpathy, etc.) also, important to identify and correct/treat, as any diminished sensory perception will exacerbate dementia symptoms. ...Read more

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I need more detials of Lewy body dementia?

The essentials: Lewey body dementia is defined by three things, visual hallucinations in the absence of othr drugs, psych diagnoses and parkinson's disease, memory loss and perodic confusion, you can have parkinson symptoms but dont have to. You also usually get behavorial problems and executive problems. The hallucinations tend to be quite vivid and complex. ...Read more

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Are senile dementia and alzheimer's nearly the same disease?

Are senile dementia and alzheimer's nearly the same disease?

Controversial: For some drs. They are the same. Some neurologists make a difference based on the age of presentation ( the older most likely "senile" ) and probably other features. The term alzheimer's is reserved for most insidious earlier onset. For a detailed discussion... .http://www.alzinfo.org/08/about-alzheimers/senile-dementia. ...Read more

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Neurodegenerative disease (alzeihmer) or dementia or depression in my grandparent?

Without knowing : Your grandparent, i can't say. All dementias are neurodegenerative illnesses in one way or another. And, yes, depression in older patients can present with memory problems. Have your grandparent evaluated by a geriatric psychiatrist to help you figure this out. ...Read more

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What is Lewy body dementia?

The essentials: Lewey body dementia is defined by three things, visual hallucinations in the absence of othr drugs, psych diagnoses and parkinson's disease, memory loss and perodic confusion, you can have parkinson symptoms but dont have to. You also usually get behavorial problems and executive problems. The hallucinations tend to be quite vivid and complex. ...Read more

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How are alzheimer's disease and dementia different?

How are alzheimer's disease and dementia different?

Square vs. Rectangle: Dementia is a term for a group of disorders that are characterized by degeneration of certain parts of the brain and cause problems with thinking, comprehension, language and various other cognitive abilities. Alzheimer's dementia is one kind of dementia. Just as all squares are rectangles, but the not all rectangles are squares, alzheimer's is a kind of dementia, but the reverse is not true. ...Read more

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