# A Case Report of Probable Dementia With Lewy Bodies Diagnosed Through Repeated Episodes of Depressed Consciousness

**Authors:** Kazuki Miyaue, Hiroki Isono

PMC · DOI: 10.7759/cureus.67581 · Cureus · 2024-08-23

## TL;DR

An 84-year-old man was diagnosed with dementia with Lewy bodies after experiencing unexplained episodes of depressed consciousness.

## Contribution

This case highlights the diagnostic challenges and importance of considering DLB in patients with unexplained recurrent depressed consciousness.

## Key findings

- DLB was diagnosed after recurrent episodes of unresponsiveness and depressed consciousness.
- Initial tests were normal, but a detailed history and examination led to the diagnosis.
- The case emphasizes the need to consider DLB in similar clinical presentations.

## Abstract

This case report details the diagnostic challenges of an 84-year-old male with unrecognized dementia with Lewy bodies (DLB) who presented to the emergency department (ED) with episodes of unresponsiveness and depressed consciousness. Despite normal initial laboratory and imaging tests, recurrent symptoms prompted further evaluation, which, along with a detailed history and physical examination, led to the DLB diagnosis. This case underscores the importance of considering DLB in patients with unexplained recurrent depressed consciousness and highlights the importance of clarifying the etiologies of dementia.

## Linked entities

- **Diseases:** dementia with Lewy bodies (MONDO:0007488)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Diseases:** Depressed Consciousness (MESH:D003244), dementia (MESH:D003704), unresponsiveness (MESH:C567934), DLB (MESH:D020961)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

9 references — full list in the complete paper: https://tomesphere.com/paper/PMC11416826/full.md

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Source: https://tomesphere.com/paper/PMC11416826