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EEG findings in dementia with Lewy bodies and Alzheimer’s disease
OBJECTIVES To evaluate the role of the EEG in the diagnosis of dementia with Lewy bodies (DLB). METHODS Standard EEG recordings from 14 patients with DLB confirmed at postmortem were examined and were compared with the records from 11 patients with Alzheimer’s disease confirmed at postmortem RESULTS...
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Published in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1999-03, Vol.66 (3), p.401-403 |
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creator | Briel, R C G McKeith, I G Barker, W A Hewitt, Y Perry, R H Ince, P G Fairbairn, A F |
description | OBJECTIVES To evaluate the role of the EEG in the diagnosis of dementia with Lewy bodies (DLB). METHODS Standard EEG recordings from 14 patients with DLB confirmed at postmortem were examined and were compared with the records from 11 patients with Alzheimer’s disease confirmed at postmortem RESULTS Seventeen of the total of 19 records from the patients with DLB were abnormal. Thirteen showed loss of alpha activity as the dominant rhythm and half had slow wave transient activity in the temporal lobe areas. This slow wave transient activity correlated with a clinical history of loss of consciousness. The patients with Alzheimer’s disease were less likely to show transient slow waves and tended to have less marked slowing of dominant rhythm. CONCLUSIONS The greater slowing of the EEG in DLB than in Alzheimer’s disease may be related to a greater loss of choline acetyltransferase found in DLB. Temporal slow wave transients may be a useful diagnostic feature in DLB and may help to explain the transient disturbance of consciousness which is characteristic of the disorder. |
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METHODS Standard EEG recordings from 14 patients with DLB confirmed at postmortem were examined and were compared with the records from 11 patients with Alzheimer’s disease confirmed at postmortem RESULTS Seventeen of the total of 19 records from the patients with DLB were abnormal. Thirteen showed loss of alpha activity as the dominant rhythm and half had slow wave transient activity in the temporal lobe areas. This slow wave transient activity correlated with a clinical history of loss of consciousness. The patients with Alzheimer’s disease were less likely to show transient slow waves and tended to have less marked slowing of dominant rhythm. CONCLUSIONS The greater slowing of the EEG in DLB than in Alzheimer’s disease may be related to a greater loss of choline acetyltransferase found in DLB. Temporal slow wave transients may be a useful diagnostic feature in DLB and may help to explain the transient disturbance of consciousness which is characteristic of the disorder.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.66.3.401</identifier><identifier>PMID: 10084544</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Aged ; Aged, 80 and over ; Alzheimer Disease - physiopathology ; Alzheimer's disease ; Asymmetry ; Biological and medical sciences ; Consciousness ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dementia - pathology ; Dementia - physiopathology ; Electroencephalography ; Female ; Hallucinations ; Humans ; Lewy Bodies - pathology ; Lewy body ; Male ; Medical sciences ; Middle Aged ; Neurology ; Neuropathology ; Short Report ; Temporal Lobe - pathology ; Temporal Lobe - physiopathology</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 1999-03, Vol.66 (3), p.401-403</ispartof><rights>Journal of Neurology, Neurosurgery, and Psychiatry</rights><rights>1999 INIST-CNRS</rights><rights>Copyright: 1999 Journal of Neurology, Neurosurgery, and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b511t-8a96abc46663424e4b55a9d25f6955935e25073345d0bd1f4b56a4e810c691fb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1736269/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1736269/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1685996$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10084544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Briel, R C G</creatorcontrib><creatorcontrib>McKeith, I G</creatorcontrib><creatorcontrib>Barker, W A</creatorcontrib><creatorcontrib>Hewitt, Y</creatorcontrib><creatorcontrib>Perry, R H</creatorcontrib><creatorcontrib>Ince, P G</creatorcontrib><creatorcontrib>Fairbairn, A F</creatorcontrib><title>EEG findings in dementia with Lewy bodies and Alzheimer’s disease</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>OBJECTIVES To evaluate the role of the EEG in the diagnosis of dementia with Lewy bodies (DLB). METHODS Standard EEG recordings from 14 patients with DLB confirmed at postmortem were examined and were compared with the records from 11 patients with Alzheimer’s disease confirmed at postmortem RESULTS Seventeen of the total of 19 records from the patients with DLB were abnormal. Thirteen showed loss of alpha activity as the dominant rhythm and half had slow wave transient activity in the temporal lobe areas. This slow wave transient activity correlated with a clinical history of loss of consciousness. The patients with Alzheimer’s disease were less likely to show transient slow waves and tended to have less marked slowing of dominant rhythm. CONCLUSIONS The greater slowing of the EEG in DLB than in Alzheimer’s disease may be related to a greater loss of choline acetyltransferase found in DLB. Temporal slow wave transients may be a useful diagnostic feature in DLB and may help to explain the transient disturbance of consciousness which is characteristic of the disorder.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - physiopathology</subject><subject>Alzheimer's disease</subject><subject>Asymmetry</subject><subject>Biological and medical sciences</subject><subject>Consciousness</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Dementia - pathology</subject><subject>Dementia - physiopathology</subject><subject>Electroencephalography</subject><subject>Female</subject><subject>Hallucinations</subject><subject>Humans</subject><subject>Lewy Bodies - pathology</subject><subject>Lewy body</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropathology</subject><subject>Short Report</subject><subject>Temporal Lobe - pathology</subject><subject>Temporal Lobe - physiopathology</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNqFkc1uEzEUhS0EoqGwZItGAiE2E-yxfcfeVKqitKWKilD521mesadxmPEEe9IfVn0NXo8nqUOiUNhwN3dxPp17rg5CzwkeE0Lh7cL75RhgTMcMkwdoRBiInFL89SEaYVwUOcUc76EnMS7weoR8jPZI2owzNkKT6fQ4a5w3zl_EzPnM2M76wensyg3zbGavbrKqN87GTHuTHbY_5tZ1Nvy6_Rkz46LV0T5FjxrdRvtsu_fRp6Ppx8lJPnt__G5yOMsrTsiQCy1BVzUDAMoKZlnFuZam4A1IziXltuC4pJRxgytDmqSDZlYQXIMkTUX30cHGd7mqOmvqlDPoVi2D63S4Ub126m_Fu7m66C8VKSkUIJPB661B6L-vbBxU52Jt21Z726-iAgkUC8AJfPkPuOhXwafnkpcgnBOBSaLyDVWHPsZgm10UgtW6HLUuRwEoqthv_sX9_PfoTRsJeLUFdKx12wTtaxf_cCC4TBF3d10c7PVO1uGbgpKWXJ19nqjy6PRcfDg_VV8S_2bDV93iPxHvAJR2s7w</recordid><startdate>19990301</startdate><enddate>19990301</enddate><creator>Briel, R C G</creator><creator>McKeith, I G</creator><creator>Barker, W A</creator><creator>Hewitt, Y</creator><creator>Perry, R H</creator><creator>Ince, P G</creator><creator>Fairbairn, A F</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19990301</creationdate><title>EEG findings in dementia with Lewy bodies and Alzheimer’s disease</title><author>Briel, R C G ; McKeith, I G ; Barker, W A ; Hewitt, Y ; Perry, R H ; Ince, P G ; Fairbairn, A F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b511t-8a96abc46663424e4b55a9d25f6955935e25073345d0bd1f4b56a4e810c691fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - physiopathology</topic><topic>Alzheimer's disease</topic><topic>Asymmetry</topic><topic>Biological and medical sciences</topic><topic>Consciousness</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>Dementia - pathology</topic><topic>Dementia - physiopathology</topic><topic>Electroencephalography</topic><topic>Female</topic><topic>Hallucinations</topic><topic>Humans</topic><topic>Lewy Bodies - pathology</topic><topic>Lewy body</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropathology</topic><topic>Short Report</topic><topic>Temporal Lobe - pathology</topic><topic>Temporal Lobe - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Briel, R C G</creatorcontrib><creatorcontrib>McKeith, I G</creatorcontrib><creatorcontrib>Barker, W A</creatorcontrib><creatorcontrib>Hewitt, Y</creatorcontrib><creatorcontrib>Perry, R H</creatorcontrib><creatorcontrib>Ince, P G</creatorcontrib><creatorcontrib>Fairbairn, A F</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Science Journals (ProQuest Database)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Briel, R C G</au><au>McKeith, I G</au><au>Barker, W A</au><au>Hewitt, Y</au><au>Perry, R H</au><au>Ince, P G</au><au>Fairbairn, A F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>EEG findings in dementia with Lewy bodies and Alzheimer’s disease</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>1999-03-01</date><risdate>1999</risdate><volume>66</volume><issue>3</issue><spage>401</spage><epage>403</epage><pages>401-403</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><notes>ark:/67375/NVC-7FJS8QSJ-W</notes><notes>istex:085387FB48386C5AAF5BE361B277B24749C8672F</notes><notes>local:jnnp;66/3/401</notes><notes>href:jnnp-66-401.pdf</notes><notes>Dr R Briel, Institute for Health of the Elderly, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE, UK. Telephone 0044 191 256 3018; fax 0044 191 273 1156.</notes><notes>PMID:10084544</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>OBJECTIVES To evaluate the role of the EEG in the diagnosis of dementia with Lewy bodies (DLB). METHODS Standard EEG recordings from 14 patients with DLB confirmed at postmortem were examined and were compared with the records from 11 patients with Alzheimer’s disease confirmed at postmortem RESULTS Seventeen of the total of 19 records from the patients with DLB were abnormal. Thirteen showed loss of alpha activity as the dominant rhythm and half had slow wave transient activity in the temporal lobe areas. This slow wave transient activity correlated with a clinical history of loss of consciousness. The patients with Alzheimer’s disease were less likely to show transient slow waves and tended to have less marked slowing of dominant rhythm. CONCLUSIONS The greater slowing of the EEG in DLB than in Alzheimer’s disease may be related to a greater loss of choline acetyltransferase found in DLB. Temporal slow wave transients may be a useful diagnostic feature in DLB and may help to explain the transient disturbance of consciousness which is characteristic of the disorder.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>10084544</pmid><doi>10.1136/jnnp.66.3.401</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged, 80 and over Alzheimer Disease - physiopathology Alzheimer's disease Asymmetry Biological and medical sciences Consciousness Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Dementia - pathology Dementia - physiopathology Electroencephalography Female Hallucinations Humans Lewy Bodies - pathology Lewy body Male Medical sciences Middle Aged Neurology Neuropathology Short Report Temporal Lobe - pathology Temporal Lobe - physiopathology |
title | EEG findings in dementia with Lewy bodies and Alzheimer’s disease |
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