13 doctors weighed in:

My father has dementia with Lewy bodies. What does this mean?

13 doctors weighed in
Dr. Maureen Nash
Psychiatry - Geriatric
5 doctors agree

In brief: Less well known

Lewy body dementia often starts with visual hallucinations and as it progresses a person develops some of movement problems seen in parkinsons disease.
Memory retrieval is slowed. There is a waxing and waning of symptoms throughout the day. A person can have lbd and alzheimers at the same time.

In brief: Less well known

Lewy body dementia often starts with visual hallucinations and as it progresses a person develops some of movement problems seen in parkinsons disease.
Memory retrieval is slowed. There is a waxing and waning of symptoms throughout the day. A person can have lbd and alzheimers at the same time.
Dr. Maureen Nash
Dr. Maureen Nash
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2 comments
Dr. Cynthia Archer
Lewey body dementia is often associated with Parkinson's disease and the pathological appearance of the tissue under the microscope looks very different from other types of dementia.
Dr. Cynthia Archer
Also aggressive behavior is common with this type of Demetria, especially at night. Discuss the use f medications such as Atpyical antipsychotic agents with his doctor.
Dr. Pedro Hernandez
Internal Medicine - Geriatrics
3 doctors agree

In brief: LEWY BODIES DEM.

Dementia with lewy bodies (dlb) is characterized by cognitive decline with a combination of fluctuating cognition, recurrent visual hallucinations, spontaneous extrapyramidal signs, rapid eye movement (rem) sleep behavioral disorder, and antipsychotic sensitivity.
People with dlb exhibit a prominent dysexecutive syndrome and visuoperceptive disturbances. Detectable memory loss may not occur early.

In brief: LEWY BODIES DEM.

Dementia with lewy bodies (dlb) is characterized by cognitive decline with a combination of fluctuating cognition, recurrent visual hallucinations, spontaneous extrapyramidal signs, rapid eye movement (rem) sleep behavioral disorder, and antipsychotic sensitivity.
People with dlb exhibit a prominent dysexecutive syndrome and visuoperceptive disturbances. Detectable memory loss may not occur early.
Dr. Pedro Hernandez
Dr. Pedro Hernandez
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Dr. Benjamin Lessig
Internal Medicine - Geriatrics
2 doctors agree

In brief: Three things

It has to include dementia (flucucation in attention and awareness as well as alertness), parkinsonism (not a classical parkinson's) including but not necessarily all of threm - tremors, masking, blinking and shuffling gait, and visual hallucinations.
There is abnormal microscopic protein builds up in the brain that disrupts functional brain cells causing them to slowly deterioration of activity.

In brief: Three things

It has to include dementia (flucucation in attention and awareness as well as alertness), parkinsonism (not a classical parkinson's) including but not necessarily all of threm - tremors, masking, blinking and shuffling gait, and visual hallucinations.
There is abnormal microscopic protein builds up in the brain that disrupts functional brain cells causing them to slowly deterioration of activity.
Dr. Benjamin Lessig
Dr. Benjamin Lessig
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Dr. Gurmukh Singh
Pathology
1 doctor agrees

In brief: Progressive illness

Lewy body dementia, is like alzheimer's disease, a progressive disorder of the central nervous system.
Unfortunately, there are no curative treatments. Some treatment may slow the progress of disease. It is sad to see one's parent with a debilitating illness. You may wish to consult a neurologist to get the latest treatments.

In brief: Progressive illness

Lewy body dementia, is like alzheimer's disease, a progressive disorder of the central nervous system.
Unfortunately, there are no curative treatments. Some treatment may slow the progress of disease. It is sad to see one's parent with a debilitating illness. You may wish to consult a neurologist to get the latest treatments.
Dr. Gurmukh Singh
Dr. Gurmukh Singh
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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: 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.

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