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Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
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Young-Onset Dementia with Lewy Bodies
Yosuke Aiba1, Ryuji Sakakibara1, Tsuyoshi Ogata1
1Dementia Support Team, Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
Case Reports in Neurology
|January 29, 2019
Summary
Young-onset dementia with Lewy bodies (YOD-DLB) can present with subtle cognitive decline. This case highlights key non-motor and imaging features aiding YOD-DLB diagnosis in challenging cases.
Area of Science:
- Neurology
- Neurodegenerative Diseases
Background:
- Young-onset dementia (<65 years) presents diagnostic challenges.
- Distinguishing between dementia subtypes is crucial for management.
Observation:
- A 61-year-old man presented with executive cognitive impairment.
- Initial suspicion was young-onset Alzheimer's disease.
- He exhibited anosmia, erectile dysfunction, hypersexuality, constipation, REM sleep behavior disorder, and emotional lability.
Findings:
- Brain perfusion SPECT, nigrosome MRI, DAT scan, and MIBG myocardial scintigraphy were positive.
- These findings, alongside non-motor symptoms, confirmed young-onset dementia with Lewy bodies (YOD-DLB).
Implications:
- This case underscores the importance of considering YOD-DLB in patients with early cognitive decline and specific non-motor symptoms.
- Accurate diagnosis facilitates appropriate patient management and care strategies.
- Further prospective studies are needed for optimal YOD-DLB diagnosis and follow-up.
Keywords:
Dementia with Lewy bodiesDopamine transporter scanMIBG myocardial scintigraphyMild cognitive impairmentYoung onsetMore Related Videos
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