Dementia with Lewy bodies presenting as probable epileptic seizure
| Autor: | Kevin Wu, Richard Youlten Kane, Mya Z Tun, Wee Kheng Soo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Lewy Body Disease
Male medicine.medical_specialty Pediatrics Unusual Association of Diseases/Symptoms Electroencephalography Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Seizures mental disorders medicine Humans 030212 general & internal medicine Cognitive decline Psychiatry Geriatrics Aged 80 and over Tomography Emission-Computed Single-Photon medicine.diagnostic_test Dementia with Lewy bodies business.industry Cognition General Medicine medicine.disease Positron-Emission Tomography Delirium Epileptic seizure medicine.symptom business 030217 neurology & neurosurgery Emission computed tomography |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|