Extrapyramidal signs by dementia severity in alzheimer disease and dementia with lewy bodies

Berneet Kaur, Danielle J Harvey, Charles DeCarli, Lin Zhang, Marwan N. Sabbagh, John M Olichney

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Alzheimer disease (AD) and dementia with Lewy bodies (DLB) are common etiologies of dementia with overlapping clinical features. Our objective was to determine which extrapyramidal signs (EPSs) are most helpful in identifying DLB. We analyzed data from the National Alzheimer's Coordinating Center, including demographics, Unified Parkinson's Disease Rating Scale (UPDRS) scores, Mini-Mental State Examination (MMSE) scores, and clinical diagnosis. The subjects were divided into 3 groups: AD, DLB, or Lewy body variant (LBV). The UPDRS motor scores were totaled and analyzed within and across the MMSE strata using regression techniques. Further, we divided UPDRS subscores into 9 EPSs, dichotomized as either present or absent. Logistic regression analysis was used to compare each of the EPS in the AD and Lewy body (DLB+LBV) groups. DLB subjects (n=130) were more likely to be male individuals, younger, and have higher MMSE scores (P<0.001) compared with that in AD (n=1826) or LBV (n=105) subjects. Differences were found for total UPDRS score and number of EPSs (P<0.001), after controlling for age, sex, and MMSE. Logistic regression models demonstrated that masked facies best differentiated AD from Lewy body (odds ratio=6.5, P<0.001, 95% confidence interval, 3.8-11.1). If these findings are neuropathologically validated, then the presence of specific EPS may help clinicians better differentiate AD and DLB.

Original languageEnglish (US)
Pages (from-to)226-232
Number of pages7
JournalAlzheimer Disease and Associated Disorders
Volume27
Issue number3
DOIs
StatePublished - Jul 2013

Fingerprint

Lewy Bodies
Dementia
Alzheimer Disease
Lewy Body Disease
Parkinson Disease
Logistic Models
Odds Ratio
Regression Analysis
Demography
Confidence Intervals

Keywords

  • Alzheimer disease
  • assessment of cognitive disorders or dementia
  • Cognitive disorders
  • dementia
  • dementia with Lewy bodies
  • parkinsonism

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Gerontology
  • Clinical Psychology
  • Medicine(all)

Cite this

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title = "Extrapyramidal signs by dementia severity in alzheimer disease and dementia with lewy bodies",
abstract = "Alzheimer disease (AD) and dementia with Lewy bodies (DLB) are common etiologies of dementia with overlapping clinical features. Our objective was to determine which extrapyramidal signs (EPSs) are most helpful in identifying DLB. We analyzed data from the National Alzheimer's Coordinating Center, including demographics, Unified Parkinson's Disease Rating Scale (UPDRS) scores, Mini-Mental State Examination (MMSE) scores, and clinical diagnosis. The subjects were divided into 3 groups: AD, DLB, or Lewy body variant (LBV). The UPDRS motor scores were totaled and analyzed within and across the MMSE strata using regression techniques. Further, we divided UPDRS subscores into 9 EPSs, dichotomized as either present or absent. Logistic regression analysis was used to compare each of the EPS in the AD and Lewy body (DLB+LBV) groups. DLB subjects (n=130) were more likely to be male individuals, younger, and have higher MMSE scores (P<0.001) compared with that in AD (n=1826) or LBV (n=105) subjects. Differences were found for total UPDRS score and number of EPSs (P<0.001), after controlling for age, sex, and MMSE. Logistic regression models demonstrated that masked facies best differentiated AD from Lewy body (odds ratio=6.5, P<0.001, 95{\%} confidence interval, 3.8-11.1). If these findings are neuropathologically validated, then the presence of specific EPS may help clinicians better differentiate AD and DLB.",
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AU - Harvey, Danielle J

AU - DeCarli, Charles

AU - Zhang, Lin

AU - Sabbagh, Marwan N.

AU - Olichney, John M

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