Table of Contents
Washington University Experience | NEURODEGENERATION | Lewy Body Disease (LBD) | 2 LBD - Gross Pathology - Cerebrum LBD -Dementia | 14A0 Case 14 History
Case 14 History ---- This patient was seen at the Memory Diagnostic Center (MDC) for his initial visit in February 1994 at age 69. His medical history was significant for Parkinson’s disease diagnosed in 1992, history of coronary artery bypass surgery in 1988, and a knee replacement in 1990. His medicines were Sinemet, Naprosyn, and Aspirin. He had a family history of his mother and an uncle with Alzheimer’s disease. He initially presented with idiopathic Parkinson’s disease. Because of the development of visual hallucinations and falls, it was thought that he had DLB. There was a slowly progressing dementia, and it was unclear if he had AD as well. His final MDC visit was at age 75 where there was continued cognitive and physical deterioration. He could no longer walk unassisted and was having almost daily falls. He required assistance in all ADLs. Hallucinations continued but were controlled with the Clozaril. He died in October 2003 at age 79 due to heart failure and inanition.
