AUTHOR=Jaramillo-Jimenez Alberto , Ying Yinbing , Ren Ping , Xiao Zhan , Zhang Qian , Wang Jian , Rong Han , Borda Miguel Germán , Bonanni Laura , Aarsland Dag , Wu Donghui TITLE=Prodromal Dementia With Lewy Bodies and Recurrent Panic Attacks as the First Symptom: A Case Report JOURNAL=Frontiers in Neurology VOLUME=13 YEAR=2022 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.839539 DOI=10.3389/fneur.2022.839539 ISSN=1664-2295 ABSTRACT=

Psychiatric-onset dementia with Lewy bodies (DLB) might include symptoms of depression, hallucinations, anxiety, and apathy. Here, we report a patient with DLB with recurrent panic attacks as her first symptom 5 years before a biological-based diagnosis of probable DLB. We provide an extended description of the clinical presentation and course from psychiatric-onset DLB to dementia in an 83-year-old woman. This case illustrates the common misdiagnosis of DLB and the delay of having a detailed clinical and biomarker assessment for structured diagnosis. With a detailed description of the clinical presentation of this case, the empirical treatment strategies, and the patient perspectives, we aim to make clinicians aware of panic attacks within the psychiatric-onset DLB.