Abstract
We discuss a case of a 67-year-old male with dementia with Lewy bodies (DLB) that was initially suspected as Creutzfeldt-Jakob disease (CJD) or another type of encephalopathy, because he showed rapidly progressive deterioration, myoclonus, gait disturbance and a decline in activities of daily living. The present study describes a clinically atypical case with probable DLB and reviews similar cases in the literature, and we propose a rapidly progressive clinical subtype of DLB.
© 2010 The Authors. Psychogeriatrics © 2010 Japanese Psychogeriatric Society.
MeSH terms
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Aged
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Brain Ischemia / diagnosis
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Cholinesterase Inhibitors / therapeutic use
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Creutzfeldt-Jakob Syndrome / diagnosis*
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Creutzfeldt-Jakob Syndrome / drug therapy
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Creutzfeldt-Jakob Syndrome / psychology
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Diagnosis, Differential
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Donepezil
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Hallucinations / diagnosis
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Hallucinations / psychology
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Humans
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Indans / therapeutic use
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Lewy Body Disease / diagnosis*
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Lewy Body Disease / drug therapy
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Lewy Body Disease / psychology
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Male
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Mental Status Schedule
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Neuropsychological Tests
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Occipital Lobe / diagnostic imaging
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Parietal Lobe / diagnostic imaging
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Piperidines / therapeutic use
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Tomography, Emission-Computed, Single-Photon
Substances
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Cholinesterase Inhibitors
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Indans
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Piperidines
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Donepezil