TY - JOUR
T1 - Prodromal Dementia With Lewy Bodies and Recurrent Panic Attacks as the First Symptom
T2 - A Case Report
AU - Jaramillo-Jimenez, Alberto
AU - Ying, Yinbing
AU - Ren, Ping
AU - Xiao, Zhan
AU - Zhang, Qian
AU - Wang, Jian
AU - Rong, Han
AU - Borda, Miguel Germán
AU - Bonanni, Laura
AU - Aarsland, Dag
AU - Wu, Donghui
N1 - Funding Information:
This work was supported by the Sanming Project of Medicine in Shenzhen (SZSM201812052) and Guangdong Natural Science Foundation for Major Cultivation Project (2018B030336001). This article also represents independent research partly funded by the Norwegian government—Helse Vest, the National Institute for Health Research (NIHR) Biomedical Research Centre at South London, Maudsley NHS Foundation Trust, and King's College London—U.K.
Publisher Copyright:
Copyright © 2022 Jaramillo-Jimenez, Ying, Ren, Xiao, Zhang, Wang, Rong, Borda, Bonanni, Aarsland and Wu.
PY - 2022/4/13
Y1 - 2022/4/13
N2 - Psychiatric-onset dementia with Lewy bodies (DLB) might include symptoms of depression, hallucinations, anxiety, and apathy. Here, we report a patient with DLB with recurrent panic attacks as her first symptom 5 years before a biological-based diagnosis of probable DLB. We provide an extended description of the clinical presentation and course from psychiatric-onset DLB to dementia in an 83-year-old woman. This case illustrates the common misdiagnosis of DLB and the delay of having a detailed clinical and biomarker assessment for structured diagnosis. With a detailed description of the clinical presentation of this case, the empirical treatment strategies, and the patient perspectives, we aim to make clinicians aware of panic attacks within the psychiatric-onset DLB.
AB - Psychiatric-onset dementia with Lewy bodies (DLB) might include symptoms of depression, hallucinations, anxiety, and apathy. Here, we report a patient with DLB with recurrent panic attacks as her first symptom 5 years before a biological-based diagnosis of probable DLB. We provide an extended description of the clinical presentation and course from psychiatric-onset DLB to dementia in an 83-year-old woman. This case illustrates the common misdiagnosis of DLB and the delay of having a detailed clinical and biomarker assessment for structured diagnosis. With a detailed description of the clinical presentation of this case, the empirical treatment strategies, and the patient perspectives, we aim to make clinicians aware of panic attacks within the psychiatric-onset DLB.
KW - case report
KW - dementia with Lewy bodies
KW - neuropsychiatric symptoms
KW - panic attacks
KW - prodromal dementia with Lewy bodies
UR - http://www.scopus.com/inward/record.url?scp=85128825888&partnerID=8YFLogxK
U2 - 10.3389/fneur.2022.839539
DO - 10.3389/fneur.2022.839539
M3 - Article
AN - SCOPUS:85128825888
SN - 1664-2295
VL - 13
JO - Frontiers in Neurology
JF - Frontiers in Neurology
M1 - 839539
ER -