8 doctors weighed in:
Who gets dementia with Lewy bodies?
8 doctors weighed in

4 doctors agree
In brief: 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.

In brief: 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.
Dr. Bennett Machanic
Dr. Bennett Machanic
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Dr. Susan Uhrich
Psychiatry
3 doctors agree
In brief: Lewy body dementia's
Cause is not yet known.
There seem to be multiple factors involved such as genetics, pesticide exposure and head trauma.

In brief: Lewy body dementia's
Cause is not yet known.
There seem to be multiple factors involved such as genetics, pesticide exposure and head trauma.
Dr. Susan Uhrich
Dr. Susan Uhrich
Thank
In brief: 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.

In brief: 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.
Dr. Robert Hutchman
Dr. Robert Hutchman
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In brief: 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.

In brief: 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.
Dr. Robert Hutchman
Dr. Robert Hutchman
Thank
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