Answer BOF 2.38

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BOF: 2.38

A 75-year-old female has had several episodes of delirium. There is also a history of intermittent falls. She is noted to have persistent visual hallucinations. She has memory impairment, visuospatial impairment and fluctuating performance. On examination of her limbs there are features of Parkinsonism.

In this patient the likely diagnosis is:

a)      Alzheimer’s disease

b)      Lewy body dementia

c)      Cerebrovascular dementia

d)      Frontotemporal dementia

e)      Normal pressure hydrocephalus

Answer:

b)

Lewy body dementia usually presents with early memory impairment and intermittent delirium. Visuospatial impairment is a feature as is fluctuating performance. Parkinsonism and recurrent falls are other features of Lewy body dementia

Revision Tip

Revise dementia KEYS to SUCCESS in Medicine page 428-430

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