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Autonomic dysfunction in dementia with Lewy bodies
Abstract
Objective To assess autonomic function in patients with dementia with Lewy bodies (DLB). Methods The authors compared data from 20 DLB patients evaluated from 1995 to 2000 to 20 age-matched multiple system atrophy (MSA) and Parkinson disease (PD) patients evaluated from 1999 to 2002. Analysis of variance, Fisher exact test, and Student t-test were applied to compare disease characteristics, autonomic symptoms, and function tests on the Composite Autonomic Scoring Scale (CASS) and Thermoregulatory Sweat Test (TST). Results In DLB, mean age at onset of autonomic symptoms was 70.3 +/- 8.9 years. Orthostatic symptoms were common and orthostatic hypotension occurred in 10/20 DLB, 17/20 MSA, and 1/20 PD patients (p = 0.023, 0.003). CASS-sudomotor for DLB, MSA, and PD were 1.6 +/- 1.2, 2.5 +/- 0.7, and 0.9 +/- 0.8 (p Conclusions Autonomic dysfunction is frequent in dementia with Lewy bodies and the severity is intermediate between that of multiple system atrophy and Parkinson disease.
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“More widespread autonomic dysfunction is common in dementia with Lewy bodies adding another cause for GI symptoms akin to those discussed in more detail in the following section on Parkinson’s disease, another synucleinopathy (Thaisetthawatkul et al., 2004).”
From Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction (2026) · cites this paper as Thaisetthawatkul et al., 2004
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Metadata
- Authors
- Thaisetthawatkul, P., Boeve, B. F., Benarroch, E. E., Sandroni, P., Ferman, T. J., Petersen, R., & Low, P. A.
- Affiliations
- Mayo Clinic (US)
- ORCID
- Venue
- Neurology
- Published
- 2004-05-25
- Volume
- 62
- Issue
- 10
- Pages
- 1804-1809
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2086119162
- Cited by
- 208
- References
- 1
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 18 · 2019: 11 · 2018: 12 · 2017: 17 · 2016: 9 · 2015: 15 · 2014: 11 · 2013: 6 · 2012: 11
- FWCI
- 7.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k23rr015537-04)
- National Institute on Aging (R01AG015866, AG15866, AG-06786, AG 16574, U01AG006786, P50AG016574)
- National Institute of Neurological Disorders and Stroke (NS3 2352, NS-44233, NS4 3364)
- National Center for Research Resources (M01-RR00 585, M01RR000585, RR-15537)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- dementia with Lewy bodies, autonomic dysfunction, multiple system atrophy, Parkinson's disease, orthostatic hypotension, sudomotor function, adrenergic function, anhidrosis, thermoregulatory sweat test
- MeSH terms
- Acetylcholine, Aged, Aged, 80 and over, Autonomic Nervous System Diseases, Urinary Bladder, Neurogenic, Blood Pressure, Female, Heart Rate, Humans, Hypotension, Orthostatic, Male, Middle Aged, Norepinephrine, Parkinson Disease, Reflex, Abnormal, Respiration, Sweating, Valsalva Maneuver, Age of Onset, Multiple System Atrophy, Lewy Body Disease
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- Thaisetthawatkul, P., Boeve, B. F., Benarroch, E. E., Sandroni, P., Ferman, T. J., Petersen, R., & Low, P. A. (2004). Autonomic dysfunction in dementia with Lewy bodies. Neurology. https://doi.org/10.1212/01.wnl.0000125192.69777.6d
