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• W2024244685 abstract "<h3>Objective:</h3> To determine whether adding REM sleep behavior disorder (RBD) to the dementia with Lewy bodies (DLB) diagnostic criteria improves classification accuracy of autopsy-confirmed DLB. <h3>Methods:</h3> We followed 234 consecutive patients with dementia until autopsy with a mean of 4 annual visits. Clinical diagnoses included DLB, Alzheimer disease (AD), corticobasal syndrome, and frontotemporal dementia. Pathologic diagnoses used the 2005 DLB consensus criteria and included no/low likelihood DLB (non-DLB; n = 136) and intermediate/high likelihood DLB (DLB; n = 98). Regression modeling and sensitivity/specificity analyses were used to evaluate the diagnostic role of RBD. <h3>Results:</h3> Each of the 3 core features increased the odds of autopsy-confirmed DLB up to 2-fold, and RBD increased the odds by 6-fold. When clinically probable DLB reflected dementia and 2 or more of the 3 core features, sensitivity was 85%, and specificity was 73%. When RBD was added and clinically probable DLB reflected 2 or more of 4 features, sensitivity improved to 88%. When dementia and RBD were also designated as probable DLB, sensitivity increased to 90% while specificity remained at 73%. The VH, parkinsonism, RBD model lowered sensitivity to 83%, but improved specificity to 85%. <h3>Conclusions:</h3> Inclusion of RBD as a core clinical feature improves the diagnostic accuracy of autopsy-confirmed DLB." @default.
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• W2024244685 date "2011-08-17" @default.
• W2024244685 modified "2023-10-16" @default.
• W2024244685 title "Inclusion of RBD improves the diagnostic classification of dementia with Lewy bodies" @default.
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• W2024244685 doi "https://doi.org/10.1212/wnl.0b013e31822c9148" @default.
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