Dementia with Lewy bodies (DLB): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Dementia with Lewy bodies (DLB): clinical features. Dementia, Fluctuating cognition. Fully referenced neurology checklist.

Essential and core clinical features of DLB

  • Dementia
  • Fluctuating cognition
  • Recurrent well-formed visual hallucinations
  • REM sleep behaviour disorder (RBD) without atonia
  • Spontaneous Parkinsonism

Autonomic features

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Psychiatric features

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Corticobasal syndrome (CBS) presentation

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Other supportive features

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Other presentations

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Old synonyms

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References

  1. McKeith IG, Boeve BF, Dickson DW, et al. Diagnosis and management of dementia with Lewy bodies: Fourth consensus report of the DLB Consortium. Neurology 2017; 89:88-100. 
  2. McKeith IG, Dickson DW, Lowe J, et al. Diagnosis and management of dementia with Lewy bodies: Third report of the DLB consortium. Neurology 2005; 65:1863-1872.
  3. Outeiro TF, Koss DJ, Erskine D, et al. Dementia with Lewy bodies: an update and outlook. Mol Neurodegener 2019; 14:5.
  4. Ferman TJ, Boeve BF, Smith GE, et al. Inclusion of RBD improves the diagnostic classification of dementia with Lewy bodies. Neurology 2011; 77:875-882.
  5. Munechika T, Fujishiro H, Okuda M, et al. Rapid eye movement sleep without atonia may help diagnose Lewy body disease in middle-aged and older patients with somatic symptom disorder. Psychogeriatrics 2017; 17:61-69.
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