Fulminant Lewy body disease.
Identifieur interne : 002D19 ( PubMed/Checkpoint ); précédent : 002D18; suivant : 002D20Fulminant Lewy body disease.
Auteurs : Isabelle Momjian-Mayor [Suisse] ; Gian Paolo Pizzolato ; Karim Burkhardt ; Theodor Landis ; Alessandra Coeytaux ; Pierre R. BurkhardSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
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), Male, Neurologic Examination, Neuropsychological Tests, Parkinson Disease (diagnosis), Parkinson Disease (pathology).
- 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.
DOI: 10.1002/mds.21034
PubMed: 16830307
Affiliations:
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pubmed:16830307Le document en format XML
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<author><name sortKey="Momjian Mayor, Isabelle" sort="Momjian Mayor, Isabelle" uniqKey="Momjian Mayor I" first="Isabelle" last="Momjian-Mayor">Isabelle Momjian-Mayor</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Geneva University Hospitals and Medical School, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Neurology, Geneva University Hospitals and Medical School, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
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<author><name sortKey="Pizzolato, Gian Paolo" sort="Pizzolato, Gian Paolo" uniqKey="Pizzolato G" first="Gian Paolo" last="Pizzolato">Gian Paolo Pizzolato</name>
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<author><name sortKey="Burkhardt, Karim" sort="Burkhardt, Karim" uniqKey="Burkhardt K" first="Karim" last="Burkhardt">Karim Burkhardt</name>
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<author><name sortKey="Landis, Theodor" sort="Landis, Theodor" uniqKey="Landis T" first="Theodor" last="Landis">Theodor Landis</name>
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<author><name sortKey="Coeytaux, Alessandra" sort="Coeytaux, Alessandra" uniqKey="Coeytaux A" first="Alessandra" last="Coeytaux">Alessandra Coeytaux</name>
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<author><name sortKey="Burkhard, Pierre R" sort="Burkhard, Pierre R" uniqKey="Burkhard P" first="Pierre R" last="Burkhard">Pierre R. Burkhard</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Fulminant Lewy body disease.</title>
<author><name sortKey="Momjian Mayor, Isabelle" sort="Momjian Mayor, Isabelle" uniqKey="Momjian Mayor I" first="Isabelle" last="Momjian-Mayor">Isabelle Momjian-Mayor</name>
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<author><name sortKey="Burkhardt, Karim" sort="Burkhardt, Karim" uniqKey="Burkhardt K" first="Karim" last="Burkhardt">Karim Burkhardt</name>
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<author><name sortKey="Landis, Theodor" sort="Landis, Theodor" uniqKey="Landis T" first="Theodor" last="Landis">Theodor Landis</name>
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<term>Creutzfeldt-Jakob Syndrome (diagnosis)</term>
<term>Creutzfeldt-Jakob Syndrome (pathology)</term>
<term>Diagnosis, Differential</term>
<term>Disease Progression</term>
<term>Fatal Outcome</term>
<term>Humans</term>
<term>Lewy Bodies (pathology)</term>
<term>Lewy Body Disease (diagnosis)</term>
<term>Lewy Body Disease (pathology)</term>
<term>Male</term>
<term>Neurologic Examination</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (pathology)</term>
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<term>Diagnosis, Differential</term>
<term>Disease Progression</term>
<term>Fatal Outcome</term>
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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.</div>
</front>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Fulminant Lewy body disease.</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
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