Hashiguchi Kenichi, Kobayashi Ryota, Morioka Daichi, Kawakatsu Shinobu, Sakamoto Kazutaka, Matsuda Hiroshi, Suzuki Akihito
Department of Psychiatry, Yamagata University School of Medicine, Yamagata, Japan.
Department of Neuropsychiatry, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu, Japan.
J Alzheimers Dis Rep. 2024 Apr 8;8(1):609-614. doi: 10.3233/ADR-240019. eCollection 2024.
Identifying the coexistence of Lewy body (LB) pathology with Alzheimer's disease (AD) in clinical practice is important in the era of anti-amyloid-β antibody therapy. However, few studies have predicted the presence of comorbid LB pathology with AD using indicative biomarkers of dementia with Lewy bodies or by collecting detailed clinical symptoms. We report the clinical progression of a 67-year-old patient diagnosed with AD who developed rapid eye movement sleep disorder-like symptoms and transient visual hallucinations 10 years after AD onset and was considered to have comorbid LB pathology based on imaging indicative biomarkers of dementia with Lewy bodies.
在抗淀粉样β抗体治疗时代,在临床实践中识别路易体(LB)病理与阿尔茨海默病(AD)的共存情况很重要。然而,很少有研究使用路易体痴呆的指示性生物标志物或通过收集详细的临床症状来预测AD合并LB病理的存在。我们报告了一名67岁被诊断为AD的患者的临床病程,该患者在AD发病10年后出现快速眼动睡眠障碍样症状和短暂视幻觉,并根据路易体痴呆的影像学指示性生物标志物被认为合并有LB病理。