Galvin J E, Lee S L, Perry A, Havlioglu N, McKeel D W, Morris J C
Department of Neurology, Washington University School of Medicine, St. Louis, MO 63108, USA.
Neurology. 2002 Oct 8;59(7):1079-82. doi: 10.1212/wnl.59.7.1079.
Familial cases of dementia with Lewy bodies (DLB) are rare. The authors describe two small kindreds with familial DLB: one with pure DLB meeting consensus criteria for DLB and one with coexistent AD pathology that did not fulfill DLB criteria. The authors call attention to the diverse features of DLB and suggest that current clinical criteria may not detect all cases. Familial DLB is clinically heterogeneous and occurs with or without coexistent AD, suggesting the relevance of LB pathology for the developing dementia.
路易体痴呆(DLB)的家族性病例很罕见。作者描述了两个患有家族性DLB的小家族:一个是符合DLB共识标准的单纯性DLB,另一个是存在共存的AD病理但不符合DLB标准的家族。作者提请注意DLB的多样特征,并表明当前的临床标准可能无法检测到所有病例。家族性DLB在临床上具有异质性,可伴有或不伴有共存的AD,这表明路易小体病理与痴呆症的发生相关。