Young-Onset Dementia with Lewy Bodies

Young-onset (< 65 years) dementia is a challenging clinical problem. A 61-year-old man visited our clinic because of a 2-year history of mild cognitive impairment of the executive disorder type. He was initially suspected of having young-onset Alzheimer’s disease due to the lack of motor si...

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Main Authors: Yosuke Aiba, Ryuji Sakakibara, Tsuyoshi Ogata, Ayako Iimura, Keiichiro Terayama, Keiko Suzuki, Shuichi Katsuragawa, Yuuki Kato, Fuyuki Tateno, Hitoshi Terada, Tsutomu Inaoka, Tomoya Nakatsuka
Format: Article
Language:English
Published: Karger Publishers 2018-12-01
Series:Case Reports in Neurology
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Online Access:https://www.karger.com/Article/FullText/495748
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author Yosuke Aiba
Ryuji Sakakibara
Tsuyoshi Ogata
Ayako Iimura
Keiichiro Terayama
Keiko Suzuki
Shuichi Katsuragawa
Yuuki Kato
Fuyuki Tateno
Hitoshi Terada
Tsutomu Inaoka
Tomoya Nakatsuka
author_facet Yosuke Aiba
Ryuji Sakakibara
Tsuyoshi Ogata
Ayako Iimura
Keiichiro Terayama
Keiko Suzuki
Shuichi Katsuragawa
Yuuki Kato
Fuyuki Tateno
Hitoshi Terada
Tsutomu Inaoka
Tomoya Nakatsuka
author_sort Yosuke Aiba
collection DOAJ
description Young-onset (< 65 years) dementia is a challenging clinical problem. A 61-year-old man visited our clinic because of a 2-year history of mild cognitive impairment of the executive disorder type. He was initially suspected of having young-onset Alzheimer’s disease due to the lack of motor signs or hippocampal atrophy by conventional brain MRI. However, he proved to have anosmia, erectile dysfunction, hypersexuality, constipation, REM sleep behavior disorder, and emotional lability; imaging findings included positive brain perfusion SPECT, nigrosome MRI, DAT scan, and MIBG myocardial scintigraphy. All these clinical imaging features led to the correct diagnosis of young-onset dementia with Lewy bodies (YOD-DLB). It is hoped that this case report will help facilitate a future prospective study to diagnose and follow YOD-DLB patients with the aim of determining appropriate management and care.
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spelling doaj.art-225bdef22ccb499e9737f5ce35c6bc582022-12-22T00:46:55ZengKarger PublishersCase Reports in Neurology1662-680X2018-12-0110336336810.1159/000495748495748Young-Onset Dementia with Lewy BodiesYosuke AibaRyuji SakakibaraTsuyoshi OgataAyako IimuraKeiichiro TerayamaKeiko SuzukiShuichi KatsuragawaYuuki KatoFuyuki TatenoHitoshi TeradaTsutomu InaokaTomoya NakatsukaYoung-onset (< 65 years) dementia is a challenging clinical problem. A 61-year-old man visited our clinic because of a 2-year history of mild cognitive impairment of the executive disorder type. He was initially suspected of having young-onset Alzheimer’s disease due to the lack of motor signs or hippocampal atrophy by conventional brain MRI. However, he proved to have anosmia, erectile dysfunction, hypersexuality, constipation, REM sleep behavior disorder, and emotional lability; imaging findings included positive brain perfusion SPECT, nigrosome MRI, DAT scan, and MIBG myocardial scintigraphy. All these clinical imaging features led to the correct diagnosis of young-onset dementia with Lewy bodies (YOD-DLB). It is hoped that this case report will help facilitate a future prospective study to diagnose and follow YOD-DLB patients with the aim of determining appropriate management and care.https://www.karger.com/Article/FullText/495748Young onsetDementia with Lewy bodiesMild cognitive impairmentMIBG myocardial scintigraphyDopamine transporter scan
spellingShingle Yosuke Aiba
Ryuji Sakakibara
Tsuyoshi Ogata
Ayako Iimura
Keiichiro Terayama
Keiko Suzuki
Shuichi Katsuragawa
Yuuki Kato
Fuyuki Tateno
Hitoshi Terada
Tsutomu Inaoka
Tomoya Nakatsuka
Young-Onset Dementia with Lewy Bodies
Case Reports in Neurology
Young onset
Dementia with Lewy bodies
Mild cognitive impairment
MIBG myocardial scintigraphy
Dopamine transporter scan
title Young-Onset Dementia with Lewy Bodies
title_full Young-Onset Dementia with Lewy Bodies
title_fullStr Young-Onset Dementia with Lewy Bodies
title_full_unstemmed Young-Onset Dementia with Lewy Bodies
title_short Young-Onset Dementia with Lewy Bodies
title_sort young onset dementia with lewy bodies
topic Young onset
Dementia with Lewy bodies
Mild cognitive impairment
MIBG myocardial scintigraphy
Dopamine transporter scan
url https://www.karger.com/Article/FullText/495748
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