Clinical aspects of dementia with Lewy bodies (original) (raw)

Dementia with Lewy bodies (DLB) constitutes a significant portion of dementia cases, characterized by fluctuating cognitive impairment, visual hallucinations, and parkinsonism. Accurate diagnosis is crucial for effective management, particularly to avoid adverse reactions to neuroleptics and to utilize cholinesterase inhibitors effectively. Challenges in identifying DLB due to fluctuating symptoms and co-existing Alzheimer pathology are addressed through revised diagnostic criteria and management strategies that include both pharmacologic and non-pharmacologic interventions.