Abstract
Corticobasal syndrome and dementia with Lewy bodies are clinical presentations with unique and overlapping features but distinct pathological substrates. We report the case of an 80 year-old man who presented with apraxia, rigidity, slowness, right arm myoclonus, a 10-year history of probable REM-sleep behavior disorder, and later developed visual hallucinations. At autopsy, he had pathological features of corticobasal degeneration, and Lewy body disease confined to the brainstem. This report highlights the importance of considering co-existing pathologies when a clinical presentation defies categorization, and demonstrates that salient features of dementia with Lewy bodies may result from pathology limited to the brainstem.
Original language | American English |
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Pages (from-to) | 26-33 |
Number of pages | 8 |
Journal | Neurocase |
Volume | 25 |
Issue number | 1-2 |
DOIs | |
State | Published - 4 Mar 2019 |
Externally published | Yes |
Bibliographical note
Funding Information:This work was supported by grant number P50AG023501 from NIH National Institute on Aging, the Hellman Family Foundation, and the Consortium on Frontotemporal Dementia Research.
Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
Keywords
- Corticobasal syndrome
- corticobasal degeneration
- dementia with Lewy body disease
- pathology
- tau
- α-synuclein