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Neurological Sciences
Published in: Neurological Sciences 8/2023

24-03-2023 | Insomnia | Letter to the Editor

Rapidly progressive dementia with severe insomnia: an unusual case of progressive supranuclear palsy mimicking dementia with Lewy bodies

Authors: Rae On Kim, Eun Ji Lee, Seong-Ik Kim, Sung-Hye Park, Kyum-Yil Kwon

Published in: Neurological Sciences | Issue 8/2023

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Excerpt

Differential diagnoses of rapidly progressive dementia may include Creutzfeldt-Jakob disease (CJD), Hashimoto’s encephalopathy, various encephalitis, and dementia with Lewy bodies (DLB). However, it is very difficult to suspect progressive supranuclear palsy (PSP) in people presenting with rapidly progressive dementia if vertical gaze abnormalities and/or axial rigidity are not prominent [1, 2]. In this report, we describe an unusual patient diagnosed with PSP, displaying rapidly progressive dementia and severe insomnia mimicking cognitive fluctuation, who was initially assumed to have CJD and later diagnosed with DLB. …
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Literature
1.
Höglinger GU, Respondek G, Stamelou M, Kurz C, Josephs KA, Lang AE et al (2017) Clinical diagnosis of progressive supranuclear palsy: the movement disorder society criteria. Mov Disord 32:853–864CrossRefPubMedPubMedCentral
2.
Boxer AL, Yu JT, Golbe LI, Litvan I, Lang AE, Höglinger GU (2017) Advances in progressive supranuclear palsy: new diagnostic criteria, biomarkers, and therapeutic approaches. Lancet Neurol 16:552–563CrossRefPubMedPubMedCentral
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Yamada M, Komatsu J, Nakamura K, Sakai K, Samuraki-Yokohama M, Nakajima K et al (2020) Diagnostic criteria for dementia with Lewy bodies: updates and future directions. J Mov Disord 13:1–10CrossRefPubMed
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Takada LT, Kim MO, Metcalf S, Gala II, Geschwind MD (2018) Prion disease. Handb Clin Neurol 148:441–464CrossRefPubMed
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Walsh CM, Ruoff L, Varbel J, Walker K, Grinberg LT, Boxer AL et al (2016) Rest-activity rhythm disruption in progressive supranuclear palsy. Sleep Med 22:50–56CrossRefPubMedPubMedCentral
Metadata
Title
Rapidly progressive dementia with severe insomnia: an unusual case of progressive supranuclear palsy mimicking dementia with Lewy bodies
Authors
Rae On Kim
Eun Ji Lee
Seong-Ik Kim
Sung-Hye Park
Kyum-Yil Kwon
Publication date
24-03-2023
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 8/2023
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-023-06766-0

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