Lewy Body Dementia: When Reality and Illusion Overlap
Автор: Lewis University Podcast
Загружено: 2026-01-18
Просмотров: 11
Описание: Host Dr. Arvie Vitente (he/him) brings clarity to Lewy body dementia (LBD)—an alpha-synucleinopathy that bridges Parkinson disease and Alzheimer disease. In this episode, he explains how misfolded alpha-synuclein spreads from brainstem to limbic and neocortical networks, producing LBD’s hallmark triad: cognitive fluctuations, recurrent well-formed visual hallucinations, and spontaneous parkinsonism. You’ll learn the LBD–PDD spectrum (timing of cognition vs. motor onset), high-stakes pitfalls like neuroleptic sensitivity, and the non-motor drivers (RBD, autonomic failure, visuospatial/executive deficits) that complicate care. Dr. Vitente outlines practical, general rehab principles—cueing, task-specific gait and transfer training, visuospatial and environmental optimization, orthostatic BP screening, and short, structured bouts—plus caregiver strategies to navigate day-to-day fluctuations while protecting safety and dignity.
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