6 doctors weighed in:
What are the symptoms of dementia with Lewy bodies?
6 doctors weighed in

Dr. Susan Uhrich
Psychiatry
4 doctors agree
In brief: Lewy body dementia
Is a type of cognitive decline hallmarked by recurrent visual hallucinations, spontaneous extrapyramidal symptoms, and cognitive fluctuations.

In brief: Lewy body dementia
Is a type of cognitive decline hallmarked by recurrent visual hallucinations, spontaneous extrapyramidal symptoms, and cognitive fluctuations.
Dr. Susan Uhrich
Dr. Susan Uhrich
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Dr. Julia Frank
Psychiatry
3 doctors agree
In brief: Lewy Body dementia
Lewy bodies are particular types of brain damage, and most often are concentrated in the frontal lobes.
Dementia that starts in this brain area is often associated with personality change, motor problems, mood instability, and social inappropriateness, at least initially. Eventually memory loss and global cognitive deficits appear.

In brief: Lewy Body dementia
Lewy bodies are particular types of brain damage, and most often are concentrated in the frontal lobes.
Dementia that starts in this brain area is often associated with personality change, motor problems, mood instability, and social inappropriateness, at least initially. Eventually memory loss and global cognitive deficits appear.
Dr. Julia Frank
Dr. Julia Frank
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1 doctor agrees
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
Thank
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