Diagnosis and management of dementia with lewy bodies : Third report of the DLB consortium
Identifieur interne : 000804 ( PascalFrancis/Checkpoint ); précédent : 000803; suivant : 000805Diagnosis and management of dementia with lewy bodies : Third report of the DLB consortium
Auteurs : I. G. Mckeith [Royaume-Uni] ; D. W. Dickson [États-Unis] ; J. Lowe [Royaume-Uni] ; M. Emre [Turquie] ; J. T. O'Brien [Royaume-Uni] ; H. Feldman [Canada] ; J. Cummings [États-Unis] ; J. E. Duda [États-Unis] ; C. Lippa [États-Unis] ; E. K. Perry [Royaume-Uni] ; D. Aarsland [Norvège] ; H. Arai [Japon] ; C. G. Ballard [Royaume-Uni] ; B. Boeve [États-Unis] ; D. J. Burn [Royaume-Uni] ; D. Costa [Portugal] ; T. Del Ser [Espagne] ; B. Duboi [France] ; D. Galasko [États-Unis] ; S. Gauthier [Canada] ; C. G. Goetz [États-Unis] ; E. Gomez-Tortos [Espagne] ; F. G. Halliday [Australie] ; L. A. Hansen [États-Unis] ; J. Hardy [États-Unis] ; T. Iwatsubo [Japon] ; R. N. Kalaria [Royaume-Uni] ; D. Kaufer [États-Unis] ; R. A. Kenny [Royaume-Uni] ; A. Korczyn [Israël] ; K. Kosaka ; V. M.-Y. Lee ; A. Lees ; I. Litvan ; E. Londos ; O. L. Lopez ; S. Minoshima ; Y. Mizuno ; J. A. Molina ; E. B. Mukaetova-Ladinska [Royaume-Uni] ; F. Pasquier ; R. H. Perry [Royaume-Uni] ; J. B. Schulz ; J. Q. Trojanowski ; M. YamadaSource :
- Neurology [ 0028-3878 ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
The dementia with Lewy bodies (DLB) Consortium has revised criteria for the clinical and pathologic diagnosis of DLB incorporating new information about the core clinical features and suggesting improved methods to assess them. REM sleep behavior disorder, severe neuroleptic sensitivity, and reduced striatal dopamine transporter activity on functional neuroimaging are given greater diagnostic weighting as features suggestive of a DLB diagnosis. The 1-year rule distinguishing between DLB and Parkinson disease with dementia may be difficult to apply in clinical settings and in such cases the term most appropriate to each individual patient should be used. Generic terms such as Lewy body (LB) disease are often helpful. The authors propose a new scheme for the pathologic assessment of LBs and Lewy neurites (LN) using alpha-synuclein immunohistochemistry and semiquantitative grading of lesion density, with the pattern of regional involvement being more important than total LB count. The new criteria take into account both Lewy-related and Alzheimer disease (AD)-type pathology to allocate a probability that these are associated with the clinical DLB syndrome. Finally, the authors suggest patient management guidelines including the need for accurate diagnosis, a target symptom approach, and use of appropriate outcome measures. There is limited evidence about specific interventions but available data suggest only a partial response of motor symptoms to levodopa: severe sensitivity to typical and atypical antipsychotics in ∼50%, and improvements in attention, visual hallucinations, and sleep disorders with cholinesterase inhibitors.
Affiliations:
- Australie, Canada, Espagne, France, Israël, Japon, Norvège, Portugal, Royaume-Uni, Turquie, États-Unis
- Angleterre, Communauté de Madrid, Grand Londres, Nottinghamshire, Île-de-France
- Londres, Madrid, Nottingham, Paris, Sydney
- Université de Nottingham
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</author>
<author><name sortKey="Schulz, J B" sort="Schulz, J B" uniqKey="Schulz J" first="J. B." last="Schulz">J. B. Schulz</name>
</author>
<author><name sortKey="Trojanowski, J Q" sort="Trojanowski, J Q" uniqKey="Trojanowski J" first="J. Q." last="Trojanowski">J. Q. Trojanowski</name>
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<author><name sortKey="Yamada, M" sort="Yamada, M" uniqKey="Yamada M" first="M." last="Yamada">M. Yamada</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Diagnosis and management of dementia with lewy bodies : Third report of the DLB consortium</title>
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<author><name sortKey="Dickson, D W" sort="Dickson, D W" uniqKey="Dickson D" first="D. W." last="Dickson">D. W. Dickson</name>
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<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Jacksonville, FL</wicri:noRegion>
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<sZ>3 aut.</sZ>
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</placeName>
<orgName type="university">Université de Nottingham</orgName>
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<s3>TUR</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Turquie</country>
<wicri:noRegion>Department of Neurology, Istanbul University, Istanbul Faculty of Medicine</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="O Brien, J T" sort="O Brien, J T" uniqKey="O Brien J" first="J. T." last="O'Brien">J. T. O'Brien</name>
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</author>
<author><name sortKey="Feldman, H" sort="Feldman, H" uniqKey="Feldman H" first="H." last="Feldman">H. Feldman</name>
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<sZ>6 aut.</sZ>
</inist:fA14>
<country>Canada</country>
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</affiliation>
</author>
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<sZ>7 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
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<author><name sortKey="Duda, J E" sort="Duda, J E" uniqKey="Duda J" first="J. E." last="Duda">J. E. Duda</name>
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</inist:fA14>
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</author>
<author><name sortKey="Lippa, C" sort="Lippa, C" uniqKey="Lippa C" first="C." last="Lippa">C. Lippa</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Memory Disorders Program, Drexel University School of Medicine</s1>
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<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
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<author><name sortKey="Perry, E K" sort="Perry, E K" uniqKey="Perry E" first="E. K." last="Perry">E. K. Perry</name>
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<s3>GBR</s3>
<sZ>1 aut.</sZ>
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<country>Royaume-Uni</country>
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</author>
<author><name sortKey="Aarsland, D" sort="Aarsland, D" uniqKey="Aarsland D" first="D." last="Aarsland">D. Aarsland</name>
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<s3>NOR</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Norvège</country>
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</affiliation>
</author>
<author><name sortKey="Arai, H" sort="Arai, H" uniqKey="Arai H" first="H." last="Arai">H. Arai</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Department of Geriatric & Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Miyagi</s2>
<s3>JPN</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Miyagi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ballard, C G" sort="Ballard, C G" uniqKey="Ballard C" first="C. G." last="Ballard">C. G. Ballard</name>
<affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Wolfson Centre for Age-Related Diseases</s1>
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<s3>GBR</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
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</affiliation>
</author>
<author><name sortKey="Boeve, B" sort="Boeve, B" uniqKey="Boeve B" first="B." last="Boeve">B. Boeve</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Neurology, Mayo Clinic</s1>
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<sZ>14 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
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</author>
<author><name sortKey="Burn, D J" sort="Burn, D J" uniqKey="Burn D" first="D. J." last="Burn">D. J. Burn</name>
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<sZ>1 aut.</sZ>
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</author>
<author><name sortKey="Costa, D" sort="Costa, D" uniqKey="Costa D" first="D." last="Costa">D. Costa</name>
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<s3>PRT</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Portugal</country>
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</author>
<author><name sortKey="Del Ser, T" sort="Del Ser, T" uniqKey="Del Ser T" first="T." last="Del Ser">T. Del Ser</name>
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<s3>ESP</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<placeName><settlement type="city">Madrid</settlement>
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</affiliation>
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<author><name sortKey="Duboi, B" sort="Duboi, B" uniqKey="Duboi B" first="B." last="Duboi">B. Duboi</name>
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<sZ>18 aut.</sZ>
</inist:fA14>
<country>France</country>
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</affiliation>
</author>
<author><name sortKey="Galasko, D" sort="Galasko, D" uniqKey="Galasko D" first="D." last="Galasko">D. Galasko</name>
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</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>La Jolla</wicri:noRegion>
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</author>
<author><name sortKey="Gauthier, S" sort="Gauthier, S" uniqKey="Gauthier S" first="S." last="Gauthier">S. Gauthier</name>
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<sZ>20 aut.</sZ>
</inist:fA14>
<country>Canada</country>
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<author><name sortKey="Goetz, C G" sort="Goetz, C G" uniqKey="Goetz C" first="C. G." last="Goetz">C. G. Goetz</name>
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<author><name sortKey="Gomez Tortos, E" sort="Gomez Tortos, E" uniqKey="Gomez Tortos E" first="E." last="Gomez-Tortos">E. Gomez-Tortos</name>
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<author><name sortKey="Halliday, F G" sort="Halliday, F G" uniqKey="Halliday F" first="F. G." last="Halliday">F. G. Halliday</name>
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<sZ>23 aut.</sZ>
</inist:fA14>
<country>Australie</country>
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</placeName>
</affiliation>
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<author><name sortKey="Hansen, L A" sort="Hansen, L A" uniqKey="Hansen L" first="L. A." last="Hansen">L. A. Hansen</name>
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</inist:fA14>
<country>États-Unis</country>
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</author>
<author><name sortKey="Hardy, J" sort="Hardy, J" uniqKey="Hardy J" first="J." last="Hardy">J. Hardy</name>
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</author>
<author><name sortKey="Iwatsubo, T" sort="Iwatsubo, T" uniqKey="Iwatsubo T" first="T." last="Iwatsubo">T. Iwatsubo</name>
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<sZ>26 aut.</sZ>
</inist:fA14>
<country>Japon</country>
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</affiliation>
</author>
<author><name sortKey="Kalaria, R N" sort="Kalaria, R N" uniqKey="Kalaria R" first="R. N." last="Kalaria">R. N. Kalaria</name>
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<author><name sortKey="Kaufer, D" sort="Kaufer, D" uniqKey="Kaufer D" first="D." last="Kaufer">D. Kaufer</name>
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</inist:fA14>
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</author>
<author><name sortKey="Kenny, R A" sort="Kenny, R A" uniqKey="Kenny R" first="R. A." last="Kenny">R. A. Kenny</name>
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<author><name sortKey="Korczyn, A" sort="Korczyn, A" uniqKey="Korczyn A" first="A." last="Korczyn">A. Korczyn</name>
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<s3>ISR</s3>
<sZ>30 aut.</sZ>
</inist:fA14>
<country>Israël</country>
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</affiliation>
</author>
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<author><name sortKey="Mizuno, Y" sort="Mizuno, Y" uniqKey="Mizuno Y" first="Y." last="Mizuno">Y. Mizuno</name>
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<author><name sortKey="Molina, J A" sort="Molina, J A" uniqKey="Molina J" first="J. A." last="Molina">J. A. Molina</name>
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<sZ>1 aut.</sZ>
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<sZ>29 aut.</sZ>
<sZ>40 aut.</sZ>
<sZ>42 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Institute for Ageing and Health, University of Newcastle upon Tyne</wicri:noRegion>
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<series><title level="j" type="main">Neurology</title>
<title level="j" type="abbreviated">Neurology</title>
<idno type="ISSN">0028-3878</idno>
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</sourceDesc>
<seriesStmt><title level="j" type="main">Neurology</title>
<title level="j" type="abbreviated">Neurology</title>
<idno type="ISSN">0028-3878</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical management</term>
<term>Diagnosis</term>
<term>Lewy body dementia</term>
<term>Nervous system diseases</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Diagnostic</term>
<term>Conduite à tenir</term>
<term>Démence corps Lewy</term>
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<front><div type="abstract" xml:lang="en">The dementia with Lewy bodies (DLB) Consortium has revised criteria for the clinical and pathologic diagnosis of DLB incorporating new information about the core clinical features and suggesting improved methods to assess them. REM sleep behavior disorder, severe neuroleptic sensitivity, and reduced striatal dopamine transporter activity on functional neuroimaging are given greater diagnostic weighting as features suggestive of a DLB diagnosis. The 1-year rule distinguishing between DLB and Parkinson disease with dementia may be difficult to apply in clinical settings and in such cases the term most appropriate to each individual patient should be used. Generic terms such as Lewy body (LB) disease are often helpful. The authors propose a new scheme for the pathologic assessment of LBs and Lewy neurites (LN) using alpha-synuclein immunohistochemistry and semiquantitative grading of lesion density, with the pattern of regional involvement being more important than total LB count. The new criteria take into account both Lewy-related and Alzheimer disease (AD)-type pathology to allocate a probability that these are associated with the clinical DLB syndrome. Finally, the authors suggest patient management guidelines including the need for accurate diagnosis, a target symptom approach, and use of appropriate outcome measures. There is limited evidence about specific interventions but available data suggest only a partial response of motor symptoms to levodopa: severe sensitivity to typical and atypical antipsychotics in ∼50%, and improvements in attention, visual hallucinations, and sleep disorders with cholinesterase inhibitors.</div>
</front>
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