Journal of Korean Geriatric Psychiatry

노인정신의학

pISSN 1226-6329 / eISSN 2733-4600


노인정신의학

대한노인정신의학회 (16권2호 75-81)

Diagnosis and Management of Dementia with Lewy Bodies

루이소체 치매의 진단과 치료

김태희(Tae Hui Kim)

Abstract

Dementia with Lewy bodies (DLB) is considered the second most common cause of neurodegenerative dementia. It is charac-terized with clinical and pathological feature that distinguish it from Alzheimer’s disease (AD). These characteristics include fluc-tuating cognition, visual hallucination, and spontaneous feature of parkinsonism. DLB is commonly accompanied by neuropsy-chiatric symptoms and recent literature suggests that behavioral and psychological symptoms of dementia (BPDS) are frequently associated with DLB. So, psychiatrist caring for older adults may need a greater awareness of the clinical presentations of DLB in order to make a timely diagnosis. Also geriatric psychiatrist need to increase knowledge in order to raise awareness about the risks and benefits of medications in patients with DLB and to provide practical information and support for caregivers. This arti-cle reviews the clinical syndrome of DLB and its management.

Keywords

루이소체 치매,인지기능 변동,환시·파킨슨증,진단,치료, Dementia with Lewy bodies (DLB),Fluctuating cognition,Visual hallucination,Parkinsonism,Diagnosis,Management