07 July 2021
: Case report
Catatonia as the Initial Manifestation of Dementia with Lewy Bodies
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Unexpected drug reaction, Educational Purpose (only if useful for a systematic review or synthesis)
Yusuke Saito12ABCEF, Keisuke Noto1ABCEF, Ryota Kobayashi1ABCDEF*, Akihito Suzuki1ABCDEF, Daichi Morioka1ABCDE, Hiroshi Hayashi1ACDEF, Koichi Otani1ACDEFDOI: 10.12659/AJCR.932018
Am J Case Rep 2021; 22:e932018
Figure 1. Neuroradiological findings. (A) Magnetic resonance fluid-attenuated inversion recovery image shows diffuse mild atrophy and mild leukoaraiosis. (B) Iodine 123-metaiodobenzylguanidine myocardial scintigraphy showing no decrease according to the heart-to-mediastinum ratios. (C) Iodine 123-N-omega-fluoropropyl-2-beta-carbomethoxy-3-beta (4-iodophenyl) nortropane single-photon emission computed tomography showing reduced dopamine transporter availability in the bilateral striatum. The average specific binding ratio (SBR) for the whole striatum using DaTView software (AZE Corp., Tokyo, Japan) was 2.77 (right striatal SBR=3.05; left striatal SBR=2.48).






