Diagnosis and management of dementia with Lewy bodies: Fourth consensus report of the DLB Consortium
Creators: name: Ross, Owen A.
name: Yamada, Masahito
name: Ramaswamy, Shankar
name: Lippa, Carol
name: Tiraboschi, Pietro
name: Kaufer, Daniel
name: Mori, Etsuro
name: Montine, Thomas J.
name: Masliah, Eliezer
name: Goldman, Jennifer G.
name: Honig, Lawrence S.
name: Feldman, Howard
name: Bayston, Ashley
name: Attems, Johannes
name: Ffytche, Dominic
name: Kukull, Walter
name: Chen-Plotkin, Alice
name: McLean, Pamela
name: Lunde, Angela
name: Trojanowski, John Q.
name: Beach, Thomas G.
name: Bohnen, Nicolaas
name: Taylor, Angela
name: Gomperts, Stephen N.
name: Kosaka, Kenji
name: Galvin, James
name: Singleton, Andrew
name: Ballard, Clive G.
name: Weintraub, Daniel
name: Halliday, Glenda
name: Bras, Jose
name: Orimo, Sotoshi
name: Masellis, Mario
name: Thomas, Alan
name: Iranzo, Alex
name: Kantarci, Kejal
name: O'Brien, John T.
name: El-Agnaf, Omar
name: Boeve, Bradley F.
name: Leverenz, James B.
name: Toledo, Jon B.
name: Duda, John E.
name: Aarsland, Dag
name: Burn, David
name: DIckson, Dennis W.
name: Fujishiro, Hiroshige
name: Taylor, John-Paul
name: Blanc, Frédéric
name: Murray, Melissa
name: Mollenhauer, Brit
name: Salmon, David P.
name: Bonanni, Laura
name: Postuma, Ronald B.
name: Moreno, Emilio
name: Lee, Virginia M.Y.
name: Tsuang, Debby
name: Graff-Radford, Neill R.
name: Ferman, Tanis J.
name: Galasko, Douglas
name: Brundin, Patrik
name: Lewis, Simon
name: Walker, Zuzana
name: McKeith, Ian G.
Publisher: name: The University of North Carolina at Chapel Hill University Libraries
Year: 2017

description: The Dementia with Lewy Bodies (DLB) Consortium has refined its recommendations about the clinical and pathologic diagnosis of DLB, updating the previous report, which has been in widespread use for the last decade. The revised DLB consensus criteria now distinguish clearly between clinical features and diagnostic biomarkers, and give guidance about optimal methods to establish and interpret these. Substantial new information has been incorporated about previously reported aspects of DLB, with increased diagnostic weighting given to REM sleep behavior disorder and 123iodine-metaiodobenzylguanidine (MIBG) myocardial scintigraphy. The diagnostic role of other neuroimaging, electrophysiologic, and laboratory investigations is also described. Minor modifications to pathologic methods and criteria are recommended to take account of Alzheimer disease neuropathologic change, to add previously omitted Lewy-related pathology categories, and to include assessments for substantia nigra neuronal loss. Recommendations about clinical management are largely based upon expert opinion since randomized controlled trials in DLB are few. Substantial progress has been made since the previous report in the detection and recognition of DLB as a common and important clinical disorder. During that period it has been incorporated into DSM-5, as major neurocognitive disorder with Lewy bodies. There remains a pressing need to understand the underlying neurobiology and pathophysiology of DLB, to develop and deliver clinical trials with both symptomatic and disease-modifying agents, and to help patients and carers worldwide to inform themselves about the disease, its prognosis, best available treatments, ongoing research, and how to get adequate support.