Early and Presenting Symptoms of Dementia with Lewy Bodies

Eirik Auning, Arvid Rongve, Tormod Fladby, Jan Booij, Tibor Hortobagyi, Francoise J. Siepel, Clive Ballard, Dag Aarsland

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    Background/Aims: To explore the presenting and early symptoms of dementia with Lewy bodies (DLB). Method: Patients with mild dementia fulfilling diagnostic criteria for DLB (n = 61) and Alzheimer’s disease (AD) (n = 109) were recruited from outpatient dementia clinics in western Norway. At diagnosis, caregivers were asked which symptom had been the presenting symptom of dementia. Results: Caregivers reported that memory impairment was the most common presenting symptom in DLB (57%), followed by visual hallucinations (44%), depression (34%), problem solving difficulties (33%), gait problems (28%), and tremor/stiffness (25%). In contrast, 99% of AD carers reported impaired memory as a presenting symptom, whereas visual hallucinations were a presenting symptom in 3% of the AD cases. Conclusion: DLB should be suspected in predementia cases with visual hallucinations.
    Original languageEnglish
    Pages (from-to)202-208
    JournalDementia and Geriatric Cognitive Disorders Extra
    Issue number3
    Publication statusPublished - 2011


    • Dementia with Lewy bodies
    • Alzheimer's disease dementia
    • Parkinsonism
    • Predementia
    • Carer report

    Cite this

    Auning, E., Rongve, A., Fladby, T., Booij, J., Hortobagyi, T., Siepel, F. J., ... Aarsland, D. (2011). Early and Presenting Symptoms of Dementia with Lewy Bodies. Dementia and Geriatric Cognitive Disorders Extra, 32(3), 202-208. https://doi.org/10.1159/000333072