Lewy Body Dementia

Risk Factors

  • Increases w/age

Symptoms

  • Inattention
  • Declining cognitive fxn
  • Visual/spatial impairment
  • Visual hallucinations - often involving animals, small people
  • Fluctuation in symptoms, level of alertness
  • Impaired REM sleep
  • Most patient will also have sx of Parkinsons
  • Can co-mingle w/AD or vascular dementia

Physical Exam Findings

  • Parkinsonian findings: tremor, cog wheel rigidity, bradykinesa
  • Sometimes autonomic dysfunction (e.g. orthostasis)