DIFFUSE LEWY BODY DISEASE WITH DEMENTIA AND OCULOMOTOR DYSFUNCTION

被引:29
作者
LEWIS, AJ
GAWEL, MJ
机构
[1] Departments of Pathology (Neuropathology) and Medicine (Neurology), Sunnybrook Medical Centre, University of Toronto, Toronto, Ontario
关键词
Dementia; Gaze; Lewy body disease;
D O I
10.1002/mds.870050209
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The case is presented of an elderly patient who had dementia, axial rigidity, and bradykinesia with limitation of horizontal and vertical gaze. Pathological examination disclosed Lewy and Lewy‐like bodies in the substantia nigra, locus ceruleus, and neocortex, leading to a final diagnosis of diffuse Lewy body disease. Similar inclusions were found in areas of the pons and midbrain believed to be associated with gaze control. Moderate numbers of neuritic plaques, but no neurofibrillary tangles, were present in limbic cortex and neocortex. Review of the literature has not shown previous association of diffuse Lewy body disease with both horizontal and vertical gaze anomalies. Copyright © 1990 Movement Disorder Society
引用
收藏
页码:143 / 147
页数:5
相关论文
共 43 条
[21]  
Mitsuyama Y, Fukunaga H, Yamashita M., Alzheimer's disease widespread presence of Lewy bodies, Folia Psychiatr Neurol Jpn, 38, pp. 81-88, (1984)
[22]  
Okamoto K, Yamazaki T, Yamaguchi H, Morimatsu M, Hirai S., An autopsy case of diffuse Lewy body disease, Clin Neural Jpn, 24, pp. 975-983, (1984)
[23]  
Clark AW, White CL, Manz HJ, Et al., Primary degenerative dementia without Alzheimer pathology, Can J Neurol Sci, 13, pp. 462-470, (1986)
[24]  
Sima AAF, Clark AW, Sternberger NA, Sternberger LA, Lewy body dementia without Alzheimer changes, Can J Neurol Sci, 13, pp. 490-497, (1986)
[25]  
Byrne EJ, Lowe J, Godwin-Austen RB, Arie T, Jones R., Dementia and Parkinson's disease associated with diffuse cortical Lewy bodies, Lancet, 1, (1987)
[26]  
Popovitch ER, Wisniewski HM, Kaufman MA, Grundke-Iqbal I, Wen GY, Young adult form of dementia with neurofibrillary changes and Lewy bodies, Acta Neuropathol (Berl), 74, pp. 97-104, (1987)
[27]  
Burkhardt CR, Filley CM, Kleinschmidt-DeMasters BK, de la Monte S, Norenberg MD, Schneck SA, Diffuse Lewy body disease and progressive dementia, Neurology, 38, pp. 1520-1528, (1988)
[28]  
Jellinger K., Pathology of Parkinsonism, Recent developments in Parkinson's disease, (1986)
[29]  
Dickson DW, Davies P, Mayeux R, Et al., Lewy body disease: neuropathological and biochemical studies of six patients, Acta Neuropathol, 75, pp. 8-15, (1987)
[30]  
Gibb WRG, Esiri MM, Lees AJ, Clinical and pathological features of diffuse cortical Lewy body disease (Lewy body dementia), Brain, 110, pp. 1131-1153, (1987)