• J Am Acad Nurse Prac · Sep 2002

    Review

    Cognitive and motor symptoms in dementia: focus on dementia with Lewy bodies.

    • Jennifer Hagerty Lingler and Daniel I Kaufer.
    • Alzheimer Disease Research Center, University of Pittsburgh, USA. hagertyja@msx.upmc.edu
    • J Am Acad Nurse Prac. 2002 Sep 1; 14 (9): 398-404; quiz 405-7.

    PurposeTo describe the clinical syndrome called dementia with Lewy bodies (DLB) and highlight its common and unique characteristics with respect to diagnosis and management.Data SourcesReview of the scientific literature including psychiatric literature, reports of clinical trials, and clinical practice guidelines.ConclusionsDLB is a clinical and histopathologic disease, which is second only to Alzheimer's disease (AD) as a cause of dementia in older adults. The clinical syndrome of DLB includes cognitive and motor deterioration reminiscent of symptoms associated with AD and Parkinson's disease (PD) respectively.Implications For PracticeThe late life intersection of cognitive and motor symptoms can present significant challenges in the primary care setting. Recognizing key features of common neurodegenerative disorders is essential to accurately diagnosing and appropriately treating the growing population of older adults who suffer from AD, PD, and DLB.

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