13 doctors weighed in:

What are the signs and symptoms in your parents thatwould likely be the diagnosis of Lewy body dementia?

13 doctors weighed in
Dr. Pamela Pappas
Psychiatry
5 doctors agree

In brief: Lewy Body Dementia

Lewy body dementia (dlb) is a progressive brain disease with cognitive, behavioral, and motor system deterioration similar to that seen in parkinson's disease.
Features include visual hallucinations, a fluctuating course, disorientation, and executive and visuospatial dysfunction with relatively spared language & memory function. Apathy, irritability, depression, and agitation are also common.

In brief: Lewy Body Dementia

Lewy body dementia (dlb) is a progressive brain disease with cognitive, behavioral, and motor system deterioration similar to that seen in parkinson's disease.
Features include visual hallucinations, a fluctuating course, disorientation, and executive and visuospatial dysfunction with relatively spared language & memory function. Apathy, irritability, depression, and agitation are also common.
Dr. Pamela Pappas
Dr. Pamela Pappas
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4 doctors agree

In brief: 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.

In brief: 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.
Dr. Robert Hutchman
Dr. Robert Hutchman
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Dr. Susan Uhrich
Psychiatry
3 doctors agree

In brief: Memory problems

And visual hallucinations.

In brief: Memory problems

And visual hallucinations.
Dr. Susan Uhrich
Dr. Susan Uhrich
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Dr. Maureen Nash
Psychiatry - Geriatric
2 doctors agree

In brief: Hallucinations

Are the symptom everyone thinks about but there are many different types of symptoms.
Delusions, memory retrieval problems, perseveration, frequent falls, tremor, trouble interpreting visual information and many others are also common. Lbd or dlb is also common in those with alzheimers. A geriatric psychiatrist can help sort through the diagnosis with you.

In brief: Hallucinations

Are the symptom everyone thinks about but there are many different types of symptoms.
Delusions, memory retrieval problems, perseveration, frequent falls, tremor, trouble interpreting visual information and many others are also common. Lbd or dlb is also common in those with alzheimers. A geriatric psychiatrist can help sort through the diagnosis with you.
Dr. Maureen Nash
Dr. Maureen Nash
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