Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Short Communication
Authors: Molenaar, Joery P.a; * | Wilbers, Joycea | Aerts, Marjolein B.a | Leijten, Quinten H.b | van Dijk, Jan G.c | Esselink, Rianne A.a | Bloem, Bastiaan R.a; d
Affiliations: [a] Department of Neurology, Radboud University Medical Centre, Nijmegen, the Netherlands | [b] Department of Neurology, Rijnstate hospital, Arnhem, the Netherlands | [c] Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands | [d] Donders Institute for Brain, Cognition and Behavior, Nijmegen, the Netherlands
Correspondence: [*] Correspondence to: Joery P. Molenaar, MD Radboud University Medical Centre Department of Neurology (HP 935) PO Box 9101, 6500 HB Nijmegen The Netherlands. Tel.: +31 24 3615202 (secretary); Fax: +31 24 3541122; E-mail: joery.molenaar@radboudumc.nl.
Abstract: We present a 75-year-old woman with dementia and parkinsonism who developed severe orthostatic hypotension and eventually died. Autopsy revealed extensive Lewy body formation in the midbrain, limbic system, intermediate spinal cord, and medulla oblongata. Furthermore, a vast amount of Lewy bodies was seen in the paravertebral sympathetic ganglia which likely explained the severe autonomic failure. We speculate that this autonomic failure caused sudden death through dysregulation of respiration or heart rhythm, reminiscent of sudden death in multiple system atrophy (MSA). Clinicians should be aware of this complication in patients presenting with parkinsonism and autonomic dysfunction, and that sudden death may occur in dementia with Lewy bodies (DLB) as it does in MSA.
Keywords: [28] Dementia with Lewy bodies, [1] autonomic diseases, [172] multiple system atrophy, sudden death
DOI: 10.3233/JPD-150755
Journal: Journal of Parkinson's Disease, vol. 6, no. 1, pp. 53-55, 2016
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl