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@ARTICLE{Bouter:153323,
author = {Bouter, Caroline and Hansen, Niels and Timäus, Charles and
Wiltfang, Jens and Lange, Claudia},
title = {{C}ase {R}eport: {T}he {R}ole of {N}europsychological
{A}ssessment and {I}maging {B}iomarkers in the {E}arly
{D}iagnosis of {L}ewy {B}ody {D}ementia in a {P}atient
{W}ith {M}ajor {D}epression and {P}rolonged {A}lcohol and
{B}enzodiazepine {D}ependence},
journal = {Frontiers in psychiatry},
volume = {11},
issn = {1664-0640},
address = {Lausanne},
publisher = {Frontiers Research Foundation},
reportid = {DZNE-2020-01320},
pages = {684},
year = {2020},
abstract = {Dementia with Lewy bodies (DLB) is the second most common
form of dementia and is assumed to be often under- or
misdiagnosed, especially in early stages. Here we present a
complex case of probable DLB with major depression and
alcohol and benzodiazepine dependence in which DLB was ruled
out initially. This case highlights the challenging
diagnostic workup of DLB patients. Core clinical features
can be missing and indicative biomarkers can be negative,
especially in early stages of the disease. Initially,
Fluorodeoxyglucose positron emission tomography as well as
neuropsychological assessment were suspicious for a possible
DLB diagnosis in our patient while core clinical criteria
were missing and the indicative biomarker 123I-FP-CIT SPECT
was negative. Follow up was performed two years later and
the patients showed several core and supportive clinical
features of DLB and 123I-FP-CIT SPECT showed a pathological
pattern. Extensive neuropsychological assessment in
combination with PET imaging might provide crucial evidence
for DLB even in early stages. If neuropsychology and PET
imaging point to an early DLB diagnosis careful follow-up
should be performed as core symptoms and indicative
biomarkers might appear in later stages of the disease.},
cin = {AG Wiltfang / U T4 Researchers - Bonn},
ddc = {610},
cid = {I:(DE-2719)1410006 / I:(DE-2719)7000008},
pnm = {342 - Disease Mechanisms and Model Systems (POF3-342) / 345
- Population Studies and Genetics (POF3-345)},
pid = {G:(DE-HGF)POF3-342 / G:(DE-HGF)POF3-345},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32760301},
pmc = {pmc:PMC7373778},
doi = {10.3389/fpsyt.2020.00684},
url = {https://pub.dzne.de/record/153323},
}