View source for Dementia with Lewy bodies

==Background==
*Neurodegenerative disorder (dementia)
*More rapid progression than Alzheimer's or [[Parkinson's disease]]
==Clinical Features==
*Fluctuating cognition
*Recurrent visual [[hallucinations]] 
*Parkinsonian motor symptoms (cogwheel rigidity, shuffling gait, retropulsion)
*REM-sleep disturbance 
*Neuroleptic sensitivity,  increased risk for [[neuroleptic malignant syndrome]]
**Acute worsening of cognition or delirium, with [[antipsychotics]], [[benzodiazepines]], [[anticholinergics]], surgical anesthetics
==Differential Diagnosis==
===Dementia Acronym===
D = drug-induced

E = emotions (depression especially)

M = metabolic and endocrine issues

E = eyes and ears (sensory problems)

N = nutritional issues (B12 and Vit. D)

T = tumors

I = infections

A = alcohol

S = sleep disorders and rarely seizures

{{Dementia DDX}}

==Evaluation==
*See [[Dementia Work-Up]]

==Management==
*Avoid neuroleptics and anticholinergics
*Supportive care, symptom management
==Disposition==

==See Also==
*[[Altered Mental Status]]
*[[Dementia]]
*[[Dementia Work-Up]]
==External Links==

==References==
<references/>

[[Category:Neurology]]