Correlation of visual hallucinations with occipital rCBF changes by donepezil in DLB

被引:58
作者
Mori, T
Ikeda, M [1 ]
Fukuhara, R
Nestor, PJ
Tanabe, H
机构
[1] Ehime Univ, Sch Med, Dept Neuropsychiat, Toon City, Ehime 7910295, Japan
[2] Univ Cambridge, Addenbrookes Hosp, Neurol Unit, Cambridge CB2 2QQ, England
基金
英国医学研究理事会;
关键词
D O I
10.1212/01.wnl.0000203114.03976.b0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors explored the neural substrate of visual hallucinations in dementia with Lewy bodies (DLB) by investigating changes in regional cerebral blood flow (rCBF) and psychiatric symptoms, before and after cholinesterase inhibitor treatment. Twenty subjects with DLB were treated with donepezil for a 12-week period. Hallucinations attenuated while receiving therapy, whereas occipital rCBF focally increased, suggesting that functional visual association cortex deficits may cause visual hallucinations in patients with DLB.
引用
收藏
页码:935 / 937
页数:3
相关论文
共 11 条
[1]  
Ashburner J, 1999, HUM BRAIN MAPP, V7, P254, DOI 10.1002/(SICI)1097-0193(1999)7:4<254::AID-HBM4>3.0.CO
[2]  
2-G
[3]   THE NEUROPSYCHIATRIC INVENTORY - COMPREHENSIVE ASSESSMENT OF PSYCHOPATHOLOGY IN DEMENTIA [J].
CUMMINGS, JL ;
MEGA, M ;
GRAY, K ;
ROSENBERGTHOMPSON, S ;
CARUSI, DA ;
GORNBEIN, J .
NEUROLOGY, 1994, 44 (12) :2308-2314
[4]   Visual hallucinations and regional cerebral metabolism in dementia with Lewy bodies (DLB) [J].
Imamura, T ;
Ishii, K ;
Hirono, N ;
Hashimoto, M ;
Tanimukai, S ;
Kazuai, H ;
Hanihara, T ;
Sasaki, M ;
Mori, E .
NEUROREPORT, 1999, 10 (09) :1903-1907
[5]   Regional cerebral glucose metabolism in dementia with Lewy bodies and Alzheimer's disease [J].
Ishii, K ;
Imamura, T ;
Sasaki, M ;
Yamaji, S ;
Sakamoto, S ;
Kitagaki, H ;
Hashimoto, M ;
Hirono, N ;
Shimomura, T ;
Mori, E .
NEUROLOGY, 1998, 51 (01) :125-130
[6]   Occipital hypoperfusion on SPECT in dementia with Lewy bodies but not AD [J].
Lobotesis, K ;
Fenwick, JD ;
Phipps, A ;
Ryman, A ;
Swann, A ;
Ballard, C ;
McKeith, IG ;
O'Brien, JT .
NEUROLOGY, 2001, 56 (05) :643-649
[7]   Efficacy of rivastigmine in dementia with Lewy bodies: a randomised, double-blind, placebo-controlled international study [J].
McKeith, I ;
Del Ser, T ;
Spano, P ;
Emre, M ;
Wesnes, K ;
Anand, R ;
Cicin-Sain, A ;
Ferrara, R ;
Spiegel, R .
LANCET, 2000, 356 (9247) :2031-2036
[8]   Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB): Report of the consortium on DLB international workshop [J].
McKeith, IG ;
Galasko, D ;
Kosaka, K ;
Perry, EK ;
Dickson, DW ;
Hansen, LA ;
Salmon, DP ;
Lowe, J ;
MIrra, SS ;
Byrne, EJ ;
Lennox, G ;
Quinn, NP ;
Edwardson, JA ;
Ince, PG ;
Bergeron, C ;
Burns, A ;
Miller, BL ;
Lovestone, S ;
Collerton, D ;
Jansen, ENH ;
Ballard, C ;
deVos, RAI ;
Wilcock, GK ;
Jellinger, KA ;
Perry, RH .
NEUROLOGY, 1996, 47 (05) :1113-1124
[9]   Dementia with Lewy bodies and AD are not associated with occipital lobe atrophy on MRI [J].
Middelkoop, HAM ;
van der Flier, WM ;
Burton, EJ ;
Lloyd, AJ ;
Paling, S ;
Barber, R ;
Ballard, C ;
McKeith, IG ;
O'Brien, JT .
NEUROLOGY, 2001, 57 (11) :2117-2120
[10]   CHOLINERGIC TRANSMITTER AND NEUROTROPHIC ACTIVITIES IN LEWY BODY DEMENTIA - SIMILARITY TO PARKINSON AND DISTINCTION FROM ALZHEIMER-DISEASE [J].
PERRY, EK ;
IRVING, D ;
KERWIN, JM ;
MCKEITH, IG ;
THOMPSON, P ;
COLLERTON, D ;
FAIRBAIRN, AF ;
INCE, PG ;
MORRIS, CM ;
CHENG, AV ;
PERRY, RH .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 1993, 7 (02) :69-79