Dementia with Lewy bodies presenting as probable epileptic seizure
We discuss the case of an 83-year-old man admitted to the hospital after losing control of his vehicle due to an unexplained episode of altered consciousness. This occurred on a background of multiple similar episodes associated with acute confusion, superimposed on a gradual cognitive decline spann...
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| creator | Tun, Mya Z Soo, Wee Kheng Wu, Kevin Kane, Richard |
| description | We discuss the case of an 83-year-old man admitted to the hospital after losing control of his vehicle due to an unexplained episode of altered consciousness. This occurred on a background of multiple similar episodes associated with acute confusion, superimposed on a gradual cognitive decline spanning 6 years. Organic aetiologies for delirium were excluded and CT and MRI of the brain were negative for cerebrovascular accidents or other epileptogenic foci. Electroencephalogram (EEG) was negative for epileptiform activity. A diagnosis of seizure in the setting of dementia with Lewy bodies (DLB) was deemed probable. Subsequent brain single-photon emission computed tomography (SPECT) and flurodeoxy glucose-positron emission tomography (FDG-PET) studies supported the underlying diagnosis of DLB. Acute changes in consciousness or cognition are often related to strokes or seizures in the older person. As illustrated in this case, however, it is important to consider alternative comorbidities that may coexist. |
| doi_str_mv | 10.1136/bcr-2017-221454 |
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This occurred on a background of multiple similar episodes associated with acute confusion, superimposed on a gradual cognitive decline spanning 6 years. Organic aetiologies for delirium were excluded and CT and MRI of the brain were negative for cerebrovascular accidents or other epileptogenic foci. Electroencephalogram (EEG) was negative for epileptiform activity. A diagnosis of seizure in the setting of dementia with Lewy bodies (DLB) was deemed probable. Subsequent brain single-photon emission computed tomography (SPECT) and flurodeoxy glucose-positron emission tomography (FDG-PET) studies supported the underlying diagnosis of DLB. Acute changes in consciousness or cognition are often related to strokes or seizures in the older person. As illustrated in this case, however, it is important to consider alternative comorbidities that may coexist.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2017-221454</identifier><identifier>PMID: 28954753</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged, 80 and over ; Alzheimer's disease ; Case reports ; Consciousness ; Convulsions & seizures ; Dementia ; Diagnosis, Differential ; Electroencephalography ; Epilepsy ; Europe (West) ; Family medical history ; Female ; Hallucinations ; Humans ; Lewy Body Disease - complications ; Lewy Body Disease - diagnosis ; Lewy Body Disease - diagnostic imaging ; Male ; Memory ; Neurology ; Neuropsychology ; Older people ; Patients ; Positron-Emission Tomography ; Quality of life ; Seizures - etiology ; Skills ; Tomography, Emission-Computed, Single-Photon ; Unusual Association of Diseases/Symptoms ; White</subject><ispartof>BMJ case reports, 2017-09, Vol.2017, p.bcr-2017-221454</ispartof><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2017 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3714-dca5eb7d605a4744d36a7b712a75c436e09f04feb380320b58a006c149c81b553</citedby><cites>FETCH-LOGICAL-b3714-dca5eb7d605a4744d36a7b712a75c436e09f04feb380320b58a006c149c81b553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747692/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747692/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28954753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tun, Mya Z</creatorcontrib><creatorcontrib>Soo, Wee Kheng</creatorcontrib><creatorcontrib>Wu, Kevin</creatorcontrib><creatorcontrib>Kane, Richard</creatorcontrib><title>Dementia with Lewy bodies presenting as probable epileptic seizure</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>We discuss the case of an 83-year-old man admitted to the hospital after losing control of his vehicle due to an unexplained episode of altered consciousness. This occurred on a background of multiple similar episodes associated with acute confusion, superimposed on a gradual cognitive decline spanning 6 years. Organic aetiologies for delirium were excluded and CT and MRI of the brain were negative for cerebrovascular accidents or other epileptogenic foci. Electroencephalogram (EEG) was negative for epileptiform activity. A diagnosis of seizure in the setting of dementia with Lewy bodies (DLB) was deemed probable. Subsequent brain single-photon emission computed tomography (SPECT) and flurodeoxy glucose-positron emission tomography (FDG-PET) studies supported the underlying diagnosis of DLB. Acute changes in consciousness or cognition are often related to strokes or seizures in the older person. As illustrated in this case, however, it is important to consider alternative comorbidities that may coexist.</description><subject>Aged, 80 and over</subject><subject>Alzheimer's disease</subject><subject>Case reports</subject><subject>Consciousness</subject><subject>Convulsions & seizures</subject><subject>Dementia</subject><subject>Diagnosis, Differential</subject><subject>Electroencephalography</subject><subject>Epilepsy</subject><subject>Europe (West)</subject><subject>Family medical history</subject><subject>Female</subject><subject>Hallucinations</subject><subject>Humans</subject><subject>Lewy Body Disease - complications</subject><subject>Lewy Body Disease - diagnosis</subject><subject>Lewy Body Disease - diagnostic imaging</subject><subject>Male</subject><subject>Memory</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Older people</subject><subject>Patients</subject><subject>Positron-Emission Tomography</subject><subject>Quality of life</subject><subject>Seizures - etiology</subject><subject>Skills</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Unusual Association of Diseases/Symptoms</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc9LHTEQx0NRqqjn3spCLyJsTTaTnd2LoM9qhQdeLPQWkuw8zWN_NXmr2L--WZ4V24u5JMN88mWGD2OfBP8qhCxPrQt5wQXmRSFAwQe2L1BhjjX_ufPmvceOYlzzdKSACuRHtldUtQJUcp9dXFJH_cab7MlvHrIlPT1ndmg8xWwMFOdWf5-ZuRqssS1lNPqWxo13WST_ewp0yHZXpo109HIfsB9X3-4W3_Pl7fXN4nyZW4kC8sYZRRabkisDCNDI0qBFURhUDmRJvF5xWJGVFZcFt6oynJdOQO0qYZWSB-xsmztOtqPGpdmCafUYfGfCsx6M1_92ev-g74dHrRCwrIsUcPwSEIZfE8WN7nx01Lamp2GKWtQAILGuZUK__Ieuhyn0ab2ZkogSOSTqdEu5MMQYaPU6jOB6VqSTIj0r0ltF6cfntzu88n-FJOBkC9hu_W7aHwBAmTo</recordid><startdate>20170927</startdate><enddate>20170927</enddate><creator>Tun, Mya Z</creator><creator>Soo, Wee Kheng</creator><creator>Wu, Kevin</creator><creator>Kane, Richard</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170927</creationdate><title>Dementia with Lewy bodies presenting as probable epileptic seizure</title><author>Tun, Mya Z ; 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This occurred on a background of multiple similar episodes associated with acute confusion, superimposed on a gradual cognitive decline spanning 6 years. Organic aetiologies for delirium were excluded and CT and MRI of the brain were negative for cerebrovascular accidents or other epileptogenic foci. Electroencephalogram (EEG) was negative for epileptiform activity. A diagnosis of seizure in the setting of dementia with Lewy bodies (DLB) was deemed probable. Subsequent brain single-photon emission computed tomography (SPECT) and flurodeoxy glucose-positron emission tomography (FDG-PET) studies supported the underlying diagnosis of DLB. Acute changes in consciousness or cognition are often related to strokes or seizures in the older person. As illustrated in this case, however, it is important to consider alternative comorbidities that may coexist.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28954753</pmid><doi>10.1136/bcr-2017-221454</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over Alzheimer's disease Case reports Consciousness Convulsions & seizures Dementia Diagnosis, Differential Electroencephalography Epilepsy Europe (West) Family medical history Female Hallucinations Humans Lewy Body Disease - complications Lewy Body Disease - diagnosis Lewy Body Disease - diagnostic imaging Male Memory Neurology Neuropsychology Older people Patients Positron-Emission Tomography Quality of life Seizures - etiology Skills Tomography, Emission-Computed, Single-Photon Unusual Association of Diseases/Symptoms White |
| title | Dementia with Lewy bodies presenting as probable epileptic seizure |
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