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* Dementias (General)
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J Neuropsychiatry Clin Neurosci 10:227-229, May 1998
© 1998 American Psychiatric Press, Inc.


Clinical and Research Report

Neuroleptic Sensitivity to Clozapine in Dementia With Lewy Bodies

William J. Burke, M.D., Ronald F. Pfeiffer, M.D. and Rodney D. McComb, M.D.

Received January 28, 1997; revised May 23, 1997; accepted May 30, 1997. From the Departments of Psychiatry, Neurology, and Pathology/Microbiology, University of Nebraska Medical Center, Omaha, Nebraska. Address correspondence to Dr. Burke, 600 South 42nd Street, Omaha, NE 68198-5575; e-mail: wjburke{at}mail.unmc.edu

Dementia with Lewy bodies (DLB) may be one of the most common causes of dementia. It should be of particular interest to psychiatrists because hallucinations are common presenting symptoms and because patients with DLB may be particularly sensitive to neuroleptics with respect to developing extrapyramidal symptoms. The authors describe 2 patients with DLB who were intolerant of clozapine, showing not extrapyramidal side effects, but an increase in confusion and behavioral symptoms.

Key Words: Dementia With Lewy Bodies • Clozapine • Neuroleptic Medications




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