Lewy body dementia
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Lewy body dementia
Pathology
Adverse effects of drugs on the nervous system
Cerebrovascular disease
Congenital disorders
Cranial and peripheral nerve disorders
Degenerative disorders or amnesic syndromes
Demyelinating disorders
Disorders relating to the spine, spinal cord, and spinal nerve roots
Global cerebral dysfunction
Infectious, immunologic, and inflammatory disorders
Metabolic disorders
Movement disorders
Neurologic pain syndromes
Neuromuscular disorders
Paroxysmal disorders
Sleep disorders
Traumatic and mechanical disorders and disorders of increased intracranial pressure
Disorders of the ear
Disorders of the eye and eyelid
Nervous system and special senses pathology review
Assessments
Flashcards
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USMLE® Step 1 questions
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High Yield Notes
9 pages



Flashcards
Lewy body dementia
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Questions
USMLE® Step 1 style questions USMLE
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Image reproduced from Wikimedia Commons
Which of the following additional physical exam findings is likely to be seen in this patient?
External References
First Aid
2024
2023
2022
2021
Lewy body dementia p. 534
Transcript
Content Reviewers
Lewy body dementia is a type of dementia, where individuals lose their memory and have difficulty learning new information.
Lewy bodies refers to protein deposits found inside neurons, and they’re named after Frederic Lewy, the neurologist who discovered them.
Lewy body dementia is a neurodegenerative disease, meaning that it worsens over time, and it’s the disease that afflicted comedian and actor Robin Williams.
The brain is made up of billions of neurons that communicate with each other by releasing neurotransmitters.
Most neurons in the cerebral cortex are called cholinergic neurons because they produce acetylcholine.
In contrast, neurons in a section of the midbrain called the substantia nigra are in charge of initiating movement and other motor functions.
These neurons are called dopaminergic because they produce dopamine.
The underlying cause of Lewy body dementia isn’t well understood.
Normally, neurons contain a protein called alpha synuclein, and in Lewy body dementia, this protein gets misfolded within the neurons.
The misfolded alpha-synuclein aggregates to form Lewy bodies that deposit inside neurons, particularly in the cortex and the substantia nigra.
Under a microscope, Lewy bodies look like dark, eosinophilic inclusions inside the affected neurons.
Sources
- "Robbins Basic Pathology" Elsevier (2017)
- "Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)" McGraw-Hill Education / Medical (2018)
- "Pathophysiology of Disease: An Introduction to Clinical Medicine 8E" McGraw-Hill Education / Medical (2018)
- "Neuroimaging in Lewy body dementia" Journal of Neurology (2018)
- "Lewy body dementias" The Lancet (2015)
- "Dysfunctional brain dynamics and their origin in Lewy body dementia" Brain (2019)