Autonomic dysfunctions in dementia with Lewy bodies

Twenty-nine cases of both clinically and neuropathologically diagnosed dementia with Lewy bodies (DLB) were retrospectively examined for autonomic symptoms. Twenty-eight cases showed some kind of autonomic dysfunction. Urinary incontinence (97 %) and constipation (83 %) were the two most common. Alt...

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Veröffentlicht in:Journal of neurology 2003-05, Vol.250 (5), p.530-533
Hauptverfasser: HORIMOTO, Yoshihiko, MATSUMOTO, Mitsuhiro, AKATSU, Hiroyasu, IKARI, Hiroyuki, KOJIMA, Kiyohide, YAMAMOTO, Takayuki, OTSUKA, Yasushi, OJIKA, Kosei, UEDA, Ryuzo, KOSAKA, Kenji
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container_end_page 533
container_issue 5
container_start_page 530
container_title Journal of neurology
container_volume 250
creator HORIMOTO, Yoshihiko
MATSUMOTO, Mitsuhiro
AKATSU, Hiroyasu
IKARI, Hiroyuki
KOJIMA, Kiyohide
YAMAMOTO, Takayuki
OTSUKA, Yasushi
OJIKA, Kosei
UEDA, Ryuzo
KOSAKA, Kenji
description Twenty-nine cases of both clinically and neuropathologically diagnosed dementia with Lewy bodies (DLB) were retrospectively examined for autonomic symptoms. Twenty-eight cases showed some kind of autonomic dysfunction. Urinary incontinence (97 %) and constipation (83 %) were the two most common. Although urinary retention and episodic hypotension causing syncopal attacks were less common, the frequency was still high (28 % each). There were 18 cases (62 %) with severe autonomic failure. These 28 cases showed similar tendencies, with no significant differences between the subtypes of DLB (brainstem, limbic, and neocortical types or common and pure forms). We found that DLB of all pathological subtypes exhibits some kind and level of autonomic symptoms.
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subjects Aged
Aged, 80 and over
Autonomic Nervous System Diseases - complications
Autonomic Nervous System Diseases - pathology
Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
Female
Humans
Lewy Body Disease - complications
Lewy Body Disease - pathology
Male
Medical sciences
Neurology
Retrospective Studies
title Autonomic dysfunctions in dementia with Lewy bodies
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