Comparison of dementia with Lewy bodies to Alzheimer's disease and Parkinson's disease with dementia
Identifieur interne : 003D64 ( Main/Exploration ); précédent : 003D63; suivant : 003D65Comparison of dementia with Lewy bodies to Alzheimer's disease and Parkinson's disease with dementia
Auteurs : Enrique Noe [États-Unis, Espagne] ; Karen Marder [États-Unis] ; Karen L. Bell [États-Unis] ; Diane M. Jacobs [États-Unis] ; Jennifer J. Manly [États-Unis] ; Yaakov Stern [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-01.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alzheimer Disease (diagnosis), Alzheimer disease, Alzheimer's disease, Comparative study, Dementia (diagnosis), Dementia with Lewy bodies, Diagnosis, Differential, Female, Humans, Lewy Body Disease (diagnosis), Lewy body dementia, Lewy body disease, Male, Middle Aged, Nervous system diseases, Neurologic Examination (statistics & numerical data), Neuropsychological Tests (statistics & numerical data), Neuropsychology, Parkinson Disease (diagnosis), Parkinson disease, Parkinson's disease, Psychometrics (statistics & numerical data).
- MESH :
- diagnosis : Alzheimer Disease, Dementia, Lewy Body Disease, Parkinson Disease.
- statistics & numerical data : Neurologic Examination, Neuropsychological Tests, Psychometrics.
- Aged, Aged, 80 and over, Diagnosis, Differential, Female, Humans, Male, Middle Aged.
Abstract
We compared the clinical and neuropsychological pattern of dementia with Lewy bodies (DLB) to Alzheimer's disease (AD) and Parkinson's disease with dementia (PD‐d). Sixteen patients clinically diagnosed with DLB were compared with two groups of patients with PD‐d (n = 15) and AD (n = 16) matched for level of dementia. Isolated cognitive impairment was the most common form of presentation in AD (93.8%) and DLB (31.3%) groups, while parkinsonism was in 100% of PD‐d subjects. Psychoses associated with cognitive impairment at the beginning of the disease were more frequent in DLB patients (31.3%) than in AD (6.3%) and PD‐d (0%) groups. There were no significant differences in Unified Parkinson Disease Rating Scale motor‐subscale scores between DLB and PD‐d patients. DLB and PD‐d patients performed significantly worse on attentional functions and better on memory tests than AD. DLB patients also showed lower scores than AD subjects on visual memory, visuoperceptive, and visuoconstructive tests. No significant differences were found between PD‐d group and DLB subjects on any neuropsychological test. We were unable to find any differences in cognitive tasks between PD‐d and DLB subjects. Clinical features and neuropsychological deficiencies of DLB (attentional, visuoperceptive, and visuoconstructive deficits) and PD (attentional deficits) compared to AD (amnesic syndrome) can contribute to accurate identification of these entities and to the understanding of the neuropathological and neurochemical substrate underlying these diseases. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10633
Affiliations:
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Le document en format XML
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<term>Lewy Body Disease (diagnosis)</term>
<term>Lewy body dementia</term>
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<front><div type="abstract" xml:lang="en">We compared the clinical and neuropsychological pattern of dementia with Lewy bodies (DLB) to Alzheimer's disease (AD) and Parkinson's disease with dementia (PD‐d). Sixteen patients clinically diagnosed with DLB were compared with two groups of patients with PD‐d (n = 15) and AD (n = 16) matched for level of dementia. Isolated cognitive impairment was the most common form of presentation in AD (93.8%) and DLB (31.3%) groups, while parkinsonism was in 100% of PD‐d subjects. Psychoses associated with cognitive impairment at the beginning of the disease were more frequent in DLB patients (31.3%) than in AD (6.3%) and PD‐d (0%) groups. There were no significant differences in Unified Parkinson Disease Rating Scale motor‐subscale scores between DLB and PD‐d patients. DLB and PD‐d patients performed significantly worse on attentional functions and better on memory tests than AD. DLB patients also showed lower scores than AD subjects on visual memory, visuoperceptive, and visuoconstructive tests. No significant differences were found between PD‐d group and DLB subjects on any neuropsychological test. We were unable to find any differences in cognitive tasks between PD‐d and DLB subjects. Clinical features and neuropsychological deficiencies of DLB (attentional, visuoperceptive, and visuoconstructive deficits) and PD (attentional deficits) compared to AD (amnesic syndrome) can contribute to accurate identification of these entities and to the understanding of the neuropathological and neurochemical substrate underlying these diseases. © 2003 Movement Disorder Society</div>
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