Movement Disorders (revue)

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Fulminant Lewy body disease

Identifieur interne : 002F96 ( Istex/Corpus ); précédent : 002F95; suivant : 002F97

Fulminant Lewy body disease

Auteurs : Isabelle Momjian-Mayor ; Gian Paolo Pizzolato ; Karim Burkhardt ; Theodor Landis ; Alessandra Coeytaux ; Pierre R. Burkhard

Source :

RBID : ISTEX:30B3B414DC73EA5DBB0EA2A45B9A32BB88740277

English descriptors

Abstract

The clinical distinction between Parkinson's disease (PD) with dementia (PDD) and dementia with Lewy bodies (DLB) is challenged by most neuropathological studies showing nearly identical changes in both conditions. We report an unusual case of PD evolving into a rapidly progressive dementia leading to death within 3 months that showed nearly all clinical features of DLB. At autopsy, numerous Lewy bodies and Lewy neurites were found in several areas of the brainstem, the limbic system, and the neocortex, consistent with pure DLB. This case demonstrates that Lewy body disease may exhibit a dramatic course without any coexisting pathology and exemplifies that PD, PDD, and DLB may sometimes represent sequential, yet overlapping, phenotypes of a same clinicopathological entity. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21034

Links to Exploration step

ISTEX:30B3B414DC73EA5DBB0EA2A45B9A32BB88740277

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<title>Fulminant Lewy body disease</title>
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<titleInfo type="abbreviated" lang="en">
<title>Fulminant Lewy Body Disease</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Fulminant Lewy body disease</title>
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<name type="personal">
<namePart type="given">Isabelle</namePart>
<namePart type="family">Momjian‐Mayor</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Gian Paolo</namePart>
<namePart type="family">Pizzolato</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Neuropathology Unit, Department of Pathology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Karim</namePart>
<namePart type="family">Burkhardt</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Neuropathology Unit, Department of Pathology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Theodor</namePart>
<namePart type="family">Landis</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
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<namePart type="given">Alessandra</namePart>
<namePart type="family">Coeytaux</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Pierre R.</namePart>
<namePart type="family">Burkhard</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Geneva University Hospitals and Medical School, Geneva, Switzerland</affiliation>
<description>Correspondence: Department of Neurology, Geneva University Hospitals, 24, rue Micheli‐du‐Crest, 1211 Geneva 14, Switzerland</description>
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<dateIssued encoding="w3cdtf">2006-10</dateIssued>
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<dateValid encoding="w3cdtf">2006-03-15</dateValid>
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<abstract lang="en">The clinical distinction between Parkinson's disease (PD) with dementia (PDD) and dementia with Lewy bodies (DLB) is challenged by most neuropathological studies showing nearly identical changes in both conditions. We report an unusual case of PD evolving into a rapidly progressive dementia leading to death within 3 months that showed nearly all clinical features of DLB. At autopsy, numerous Lewy bodies and Lewy neurites were found in several areas of the brainstem, the limbic system, and the neocortex, consistent with pure DLB. This case demonstrates that Lewy body disease may exhibit a dramatic course without any coexisting pathology and exemplifies that PD, PDD, and DLB may sometimes represent sequential, yet overlapping, phenotypes of a same clinicopathological entity. © 2006 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>dementia</topic>
<topic>Lewy body</topic>
</subject>
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<title>Movement Disorders</title>
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<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
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<genre>article category</genre>
<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2006</date>
<detail type="volume">
<caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>10</number>
</detail>
<extent unit="pages">
<start>1748</start>
<end>1751</end>
<total>4</total>
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<identifier type="DOI">10.1002/mds.21034</identifier>
<identifier type="ArticleID">MDS21034</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition>
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<recordContentSource>WILEY</recordContentSource>
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