Diffuse Lewy Body Dementia


Case Discussion
A 69-yo man has developed rigidity, a short-stepped gait, and masked facies. He also has become more forgetful (MMSE = 19). His family thinks he sees things that aren’t real.

The most likely diagnosis is?

A. Pick’s disease
B. Alzheimer’s disease
C. Diffuse Lewy body dementia
D. Progressive supranuclear palsy
E. Parkinson’s disease and depression

 
Characteristics
  • Dementia
  • Parkinsonism, and
  • Visual hallucinations (may develop severe EPS if prescribed neuroleptics)

 
Dementia Alzheimer's Dementia
Minor Neuro-cognitive Disorder
“Pseudodementia” (Dementia Syndrome of Depression)
Vascular Dementia
Diffuse Lewy Body Dementia
Frontotemporal Dementia
Normal Pressure Hydrocephalus
Creutzfeldt-Jakob Disease