12 doctors weighed in:
Is Lewy bodies dementia the same thing as alzheimers?
12 doctors weighed in

6 doctors agree
In brief: 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.

In brief: 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.
Dr. Robert Hutchman
Dr. Robert Hutchman
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Dr. Maureen Nash
Psychiatry - Geriatric
5 doctors agree
In brief: No
But it appears that 30% of those with alzheimers have lewy bodies in their brains at autopsy.
The illnesses are not identical but overlap in symptoms and treatments.

In brief: No
But it appears that 30% of those with alzheimers have lewy bodies in their brains at autopsy.
The illnesses are not identical but overlap in symptoms and treatments.
Dr. Maureen Nash
Dr. Maureen Nash
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Dr. Pamela Pappas
Psychiatry
4 doctors agree
In brief: No
Lewy body dementia (dlb) isn't the same as alzheimer's dementia (ad), but the 2 can overlap.
Dlb is associated with fluctuating cognitive difficulties, parkinsonism (slow movement, tremor, and rigidity, etc), and hallucinations. Ad patients show more gradual, cumulative decline in cognition. There are more overall behavioral symptoms with dlb compared to ad, especially hallucinations & apathy.

In brief: No
Lewy body dementia (dlb) isn't the same as alzheimer's dementia (ad), but the 2 can overlap.
Dlb is associated with fluctuating cognitive difficulties, parkinsonism (slow movement, tremor, and rigidity, etc), and hallucinations. Ad patients show more gradual, cumulative decline in cognition. There are more overall behavioral symptoms with dlb compared to ad, especially hallucinations & apathy.
Dr. Pamela Pappas
Dr. Pamela Pappas
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1 doctor agrees
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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