Sawagashira Ryo, Sasagawa Yoshihisa, Matsukura Mayumi, Takamaru Yuji
Physiology, Hokkaido University, Sapporo, JPN.
Psychiatry, Hokkaido University, Sapporo, JPN.
Cureus. 2021 Apr 24;13(4):e14667. doi: 10.7759/cureus.14667.
Dementia with Lewy bodies (DLB) is recognized as the second most common form of dementia in aged people. It is well known that patients with DLB often develop various autonomic symptoms. Here, we present a case in which there was sick sinus syndrome mimicking the DLB-related autonomic dysfunctions. After the pacemaker implantation, the patient's symptom perfectly extinguished.It is essential for psychiatrists or other professionals who are mainly seeing dementia patients to rule out critical causes that may mimic autonomic symptoms in patients with DLB.
路易体痴呆(DLB)被认为是老年人中第二常见的痴呆形式。众所周知,DLB患者常出现各种自主神经症状。在此,我们报告一例疑似与DLB相关自主神经功能障碍的病态窦房结综合征病例。起搏器植入后,患者症状完全消失。对于主要诊治痴呆患者的精神科医生或其他专业人员来说,排除可能模仿DLB患者自主神经症状的关键病因至关重要。