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Foreword

Published online by Cambridge University Press:  06 July 2010

Robert Perry
Affiliation:
Department of Neuropathology, Newcastle General Hospital
Ian McKeith
Affiliation:
University of Newcastle upon Tyne
Elaine Perry
Affiliation:
MRC Neurochemical Pathology Unit, Newcastle General Hospital
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Summary

Lewy body dementia (LBD) burst on the scientific scene as a major concern for clinicians and pathologists little more than a decade ago. The Lewy body had previously been considered a common, if enigmatic, marker of idiopathic Parkinson's disease, but it suddenly became a focus of interest as ubiquitin stains revealed that up to 30 per cent of patients diagnosed clinically and pathologically with Alzheimer's disease have Lewy bodies in substantial numbers of cortical neurons. Is this a newly recognized dementing illness or a variant of Alzheimer's disease; what does the Lewy body tell us about deranged intracellular metabolism; do cortical Lewy bodies cause a dementia syndrome and if so how abundant must they be to produce cognitive impairment; is LBD clinically recognizable; what is the relationship between LBD and Parkinson's disease; does LBD have a different treatment response profile than Alzheimer's disease? These are the questions that the current volume strives to answer or at least to put into perspective and set the stage for future investigations.

Dementia with Lewy Bodies is organized into three sections: clinical aspects, pathology, and treatment. Prefaced by a fascinating biography of Lewy – who first described in 1913 the eosinophilic inclusions that came to bear his name – the clinical section addresses the current state of knowledge regarding the clinical syndrome associated with cortical Lewy bodies. Lewy body dementia and Alzheimer's disease are not differentiated by widely used clinical and research diagnostic criteria, and studies currently reported as describing the phenomenology and treatment of Alzheimer's disease almost certainly include a mixture of patients with Alzheimer's disease and patients with LBD.

Type
Chapter
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Dementia with Lewy Bodies
Clinical, Pathological, and Treatment Issues
, pp. xix - xxii
Publisher: Cambridge University Press
Print publication year: 1996

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  • Foreword
  • Edited by Robert Perry, Department of Neuropathology, Newcastle General Hospital, Ian McKeith, University of Newcastle upon Tyne, Elaine Perry, MRC Neurochemical Pathology Unit, Newcastle General Hospital
  • Foreword by Jeffrey L. Cummings
  • Book: Dementia with Lewy Bodies
  • Online publication: 06 July 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511601187.001
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  • Foreword
  • Edited by Robert Perry, Department of Neuropathology, Newcastle General Hospital, Ian McKeith, University of Newcastle upon Tyne, Elaine Perry, MRC Neurochemical Pathology Unit, Newcastle General Hospital
  • Foreword by Jeffrey L. Cummings
  • Book: Dementia with Lewy Bodies
  • Online publication: 06 July 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511601187.001
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Foreword
  • Edited by Robert Perry, Department of Neuropathology, Newcastle General Hospital, Ian McKeith, University of Newcastle upon Tyne, Elaine Perry, MRC Neurochemical Pathology Unit, Newcastle General Hospital
  • Foreword by Jeffrey L. Cummings
  • Book: Dementia with Lewy Bodies
  • Online publication: 06 July 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511601187.001
Available formats
×