DEMENTIA WITH LEWY BODIES: AN ANALYSIS OF PATHOLOGY, DIAGNOSIS AND THERAPEUTIC INTERVENTIONS THROUGH A LITERATURE REVIEW

Authors

DOI:

https://doi.org/10.47820/recima21.v5i2.4907

Keywords:

Lewy body dementia, Pathology, Diagnosis, Therapeutic interventions

Abstract

Introduction: Dementia with Lewy bodies (DCL) is the second most common cause of neurodegenerative dementia, presenting challenges in diagnosis and clinical management due to its symptomatic complexity. Objective: This article aims to provide a comprehensive analysis of the pathology, diagnosis and therapeutic interventions in DCL. Methods: This is a bibliographic review, using articles present in the following databases: PubMed, Scopus and Web of Science. Original articles and systematic reviews in English and Portuguese published between 2015 and 2024 were included, which addressed pathology, diagnosis and therapeutic interventions in DLB. After analysis, 15 articles were selected to prepare this bibliographic review. Discussion: The clinical features of CLD were addressed, including distinctive symptoms and challenges in differential diagnosis. The pathogenesis involves mechanisms such as the formation of alpha-synuclein aggregates and synaptic dysfunction. Current therapeutic options are mainly aimed at relieving symptoms, but there are no curative treatments. Conclusion: DCL represents a challenging neurodegenerative condition, requiring early diagnosis and appropriate management to improve patients' quality of life. Continued research into biomarkers and targeted therapies is essential to advance the knowledge and treatment of DCL. Awareness and a multidisciplinary approach are key to optimizing clinical outcomes.

Downloads

Download data is not yet available.

Author Biographies

Ana Maria Santos Cardoso

Instituto de Educação Superior do Vale do Parnaíba-IESVAP.

 

Andressa Luiza Forte Corrêa

Acadêmico de medicina.

Suzana Gaspar Lopes de Medeiros

Acadêmico de medicina. Universidade do Grande Rio - Unigranrio.

Victoria Peixoto dos Santos

Acadêmico de medicina.

Ana Caroline Oliveira Ornelas

Acadêmico de medicina.

Pedro Lucas Borges Souza

Acadêmico de medicina.

Felipe Moita Muniz

Acadêmico de medicina.

Gustavo Lemos de Medeiros

Médico pós-graduado em neurologia pela PUC-RIO.

References

BURSON, Kathy C. Early Detection of Decline in Executive Functioning in Alzheimer's, Frontotemporal, and Lewy Body Dementia. 2022. Tese (Doutorado) - Fielding Graduate University, S. l., 2022.

CHIMAGOMEDOVA, A.; VASENINA, E.; LEVIN, O. S. "Diagnostic of prodromal dementia with Levy bodies." Zhurnal Nevrologii i Psikhiatrii Imeni SS Korsakova, v. 117, n. 6, Vyp. 2, p. 23-32, 2017. DOI: https://doi.org/10.17116/jnevro20171176223-32

DE AZEVEDO, António Gil Cabral. Neuroinflammation patterns in Alzheimer´ s disease, dementia with lewy bodies and cases with mixed pathology. [S. l.: s. n.], 2022.

FERMAN, T. J.; SMITH, G. E.; KANTARCI, K.; BOEVE, B. F.; PANKRATZ, V. S.; DICKSON, D. W.; KNOPMAN, D. S. Nonamnestic mild cognitive impairment progresses to dementia with Lewy bodies. Neurology, v. 81, n. 23, p. 2032-2038, 2013. DOI: https://doi.org/10.1212/01.wnl.0000436942.55281.47

GOMPERTS, S. N.; LOCASCIO, J. J.; MAKARETZ, S. J.; SCHULTZ, A.; CASO, C.; VASDEV, N.; GROWDON, J. H. Tau positron emission tomographic imaging in the Lewy body diseases. JAMA Neurology, v. 73, n. 11, p. 1334-1341, 2016. DOI: https://doi.org/10.1001/jamaneurol.2016.3338

KANTARCI, Kejal et al. Multimodality imaging characteristics of dementia with Lewy bodies. Neurobiology of aging, v. 33, n. 9, p. 2091-2105, 2012. DOI: https://doi.org/10.1016/j.neurobiolaging.2011.09.024

KIM, Tae-Hui. Diagnosis and management of dementia with Lewy bodies. Journal of Korean Geriatric Psychiatry, p. 75-81, 2012.

MCKEITH, I.; DICKSON, D. W.; LOWE, J.; EMRE, M.; O'BRIEN, J.; FELDMAN, H.; YAMADA, M. Diagnosis and management of dementia with Lewy bodies: Fourth consensus report of the DLB Consortium. Neurology, v. 89, n. 1, p. 88-100, 2017.

MOLLENHAUER, Brit et al. Baseline predictors for progression 4 years after Parkinson's disease diagnosis in the De Novo Parkinson Cohort (DeNoPa). Movement Disorders, v. 34, n. 1, p. 67-77, 2019. DOI: https://doi.org/10.1002/mds.27492

PARMERA, Jacy Bezerra et al. Diagnóstico e manejo da demência da doença de Parkinson e demência com corpos de Lewy: recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Dementia & Neuropsychologia, v. 16, p. 73-87, 2022. DOI: https://doi.org/10.1590/1980-5764-dn-2022-s105pt

PENG, Chao et al. Cellular milieu imparts distinct pathological α-synuclein strains in α-synucleinopathies. Nature, v. 557, n. 7706, p. 558-563, 2018. DOI: https://doi.org/10.1038/s41586-018-0104-4

SEGERS, Kurt et al. Dementia with Lewy bodies in first-generation immigrants in a European memory clinic. Acta Neurologica Belgica, v. 121, p. 219-223, 2021. DOI: https://doi.org/10.1007/s13760-020-01492-2

STINTON, Chris et al. Pharmacological management of Lewy body dementia: a systematic review and meta-analysis. American Journal of Psychiatry, v. 172, n. 8, p. 731-742, 2015. DOI: https://doi.org/10.1176/appi.ajp.2015.14121582

ZIS, Panagiotis et al. The range and nature of non-motor symptoms in drug-naive Parkinson’s disease patients: a state-of-the-art systematic review. npj Parkinson's Disease, v. 1, n. 1, p. 1-8, 2015. DOI: https://doi.org/10.1038/npjparkd.2015.13

ZOU, Wen‐Quan et al. Variably protease‐sensitive prionopathy: a new sporadic disease of the prion protein. Annals of neurology, v. 68, n. 2, p. 162-172, 2010. DOI: https://doi.org/10.1002/ana.22094

Published

17/02/2024

How to Cite

Santos Cardoso, A. M., Forte Corrêa, A. L., Lopes de Medeiros, S. G., Peixoto dos Santos , V., Oliveira Ornelas , A. C., Borges Souza , P. L., … Lemos de Medeiros, G. (2024). DEMENTIA WITH LEWY BODIES: AN ANALYSIS OF PATHOLOGY, DIAGNOSIS AND THERAPEUTIC INTERVENTIONS THROUGH A LITERATURE REVIEW. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(2), e524907. https://doi.org/10.47820/recima21.v5i2.4907