The pathology of REM sleep behavior disorder with comorbid Lewy body dementia.

Turner, R S; D'Amato, C J; Chervin, R D; Blaivas, M · Neurology · 2000

case_report · Level V

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Abstract

A patient with REM sleep behavior disorder who subsequently developed probable Lewy body dementia is now reported to have a definite pathologic diagnosis of Lewy body dementia. Examination of brain revealed Lewy bodies as well as marked neuronal loss in brainstem monoaminergic nuclei-particularly locus coeruleus and substantia nigra-that inhibit cholinergic neurons in the pedunculopontine nucleus mediating atonia during REM sleep.

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