Fulminant Lewy body disease
Identifieur interne : 003428 ( Main/Exploration ); précédent : 003427; suivant : 003429Fulminant Lewy body disease
Auteurs : Isabelle Momjian-Mayor [Suisse] ; Gian Paolo Pizzolato [Suisse] ; Karim Burkhardt [Suisse] ; Theodor Landis [Suisse] ; Alessandra Coeytaux [Suisse] ; Pierre R. Burkhard [Suisse]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-10.
English descriptors
- KwdEn :
- 14-3-3 Proteins (analysis), Aged, Brain (pathology), Creutzfeldt-Jakob Syndrome (diagnosis), Creutzfeldt-Jakob Syndrome (pathology), Diagnosis, Differential, Disease Progression, Fatal Outcome, Humans, Lewy Bodies (pathology), Lewy Body Disease (diagnosis), Lewy Body Disease (pathology), Lewy body, Male, Neurologic Examination, Neuropsychological Tests, Parkinson Disease (diagnosis), Parkinson Disease (pathology), Parkinson's disease, dementia.
- MESH :
- chemical , analysis : 14-3-3 Proteins.
- diagnosis : Creutzfeldt-Jakob Syndrome, Lewy Body Disease, Parkinson Disease.
- pathology : Brain, Creutzfeldt-Jakob Syndrome, Lewy Bodies, Lewy Body Disease, Parkinson Disease.
- Aged, Diagnosis, Differential, Disease Progression, Fatal Outcome, Humans, Male, Neurologic Examination, Neuropsychological Tests.
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
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml: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</div>
</front>
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