Parkinson's disease. 3D illustration showing neurons containing Lewy bodies small red spheres which are deposits of proteins accumulated in brain cells that cause their progressive degeneration

Case study

DEMENCIA WITH LEWY BODIES IN EXPERT ASSESSMENT  OF SOCIAL SECURITY

How to cite: Valença AM, Leal CCS, Oliveira GC, Moraes TM, NardiNardi AE, Mendlowicz MV. Demencia with Lewy bodies in expert assessment of social security. Persp Med Legal Pericia Med. 2023; 8: e230517

https://dx.doi.org/10.47005/230517

Submitted 11/05/2022
Accepted 05/26/2023

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The authors inform there is no conflict of interest.

DEMENCIA COM CORPOS DE LEWY EM PERICIA PREVIDENCIARIA

Alexandre Martins Valença (1) 

http://lattes.cnpq.br/6780184620648314       https://orcid.org/0000-0002-5744-2112 

Cláudia Cristina Studart Leal (2)

http://lattes.cnpq.br/4430586205919224       https://orcid.org/0000-0003-1416-6127

Gustavo Carvalho de Oliveira (3)

http://lattes.cnpq.br/0039481809200600     https://orcid.org/0000-0002-2468-1248

Talvane Marins Moraes (4)

http://lattes.cnpq.br/6457995239550104      https://orcid.org/0000-0003-3085-3736

Antonio Egidio NardiNardi (2) 

 http://lattes.cnpq.br/0970789513843822     https://orcid.org/0000-0003-1622-7931

Mauro Vitor Mendlowicz (5)

http://lattes.cnpq.br/5365289174073839     https://orcid.org/0000-0002-8891-0548

(1) Universidade Federal do Rio de Janeiro, Rio de Janeiro-RJ. (Autor principal)

(2) Universidade Federal do Rio de Janeiro, Rio de Janeiro-RJ. (Autor secundário)

(3) Secretaria de Saúde do Distrito Federal- SESDF, Brasília-DF. (Autor secundário)

(4) Universidade do Estado do Rio de Janeiro, Rio de Janeiro-RJ. (Autor secundário)

(5) Universidade Federal Fluminense, Rio de Janeiro-RJ. (Autor secundário)

ABSTRACT

Dementia is a clinical syndrome characterized by multiple, acquired and persistent cognitive deficits, capable of substantially interfering in the patient’s activities of daily living. The diagnosis of Dementia with Lewy Bodies (LBD) is characterized by fluctuation in cognitive functions, recurrent, well-formed, and detailed visual hallucinations, and parkinsonism, with stiffness, tremor, bradykinesia, and slurred speech. Our goal is to describe a case report of LBD that for several years was diagnosed and treated as depression. It is extremely important to have detailed medical research in these cases, including performing differential diagnosis with depression, in order to enable adequate treatment, family guidance and receipt of financial benefits provided by government authorities.

Keywords: Dementia; Neurodegeneration; Dementia with Lewy bodies

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