Dementia with Lewy body DLB

• Facts:
  Characterized by fluctuating cognitive impairment and bizarre, visual hallucinations
• History / PE:
  Alterations in consciousness
  Disorganized speech
  Visual hallucinations
  Extrapyramidal symptoms
• Diagnosis:
  Lewy bodies (intraneuronal eosinophilic inclusions)
• Treatment:
  Rivastigmine (acetylcholinesterase inhibitors)
  Atypical antipsychotics (hallucinations)
• Differential Diagnosis:
  Parkinson's disease (early motor symptoms, no visual hallucinations)
  Pick's disease