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Dementia with Lewy Bodies (DLB) presenting with catatonic symptoms
Author(s) -
LAKSHMANA Raju,
SUNDRAM Suresh,
CAIRNS Fiona
Publication year - 2006
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/j.1479-8301.2006.00108.x
Subject(s) - olanzapine , dementia with lewy bodies , catatonia , clonazepam , medicine , psychiatry , dementia , pediatrics , psychology , schizophrenia (object oriented programming) , disease
Abstract In this report, we demonstrate through a putative case that Dementia with Lewy Bodies (DLB) can present with a catatonic syndrome which can pose diagnostic and management challenges. The patient was an 88‐year‐old gentleman presenting with acute psychotic and catatonic symptoms on a background of 5 months of functional decline. He showed good response of catatonic symptoms to Clonazepam and psychotic symptoms to Olanzapine. This led to resolution of behavioral problems and the establishment of a putative diagnosis of DLB. Patients with DLB may present with catatonic states; benzodiazepines help resolve catatonic symptoms and facilitate assessment in such patients; and Olanzapine effectively treats psychotic symptoms in DLB.