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Atypical Lewy body disease revealed by burning mouth syndrome and a pseudo-psychiatric syndrome



Atypical Lewy body disease revealed by burning mouth syndrome and a pseudo-psychiatric syndrome



Revue Neurologique 166(5): 547-549



Among the degenerative diseases of the nervous system, Lewy body disease has the most psychiatric symptoms especially hallucinations, delusion and identification disorders. We report a case of Lewy body disease that started with a burning mouth syndrome for three year as the only symptom before the development of a pseudo-psychiatric syndrome (melancholy and Capgras). None of the usual cardinal criteria were present. MRI, cerebrospinal fluid, and DAT scan findings enabled the diagnosis. The dopaminergic hypothesis put forward in some cases of burning mouth syndrome might explain this symptom in Lewy body disease.

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Accession: 051711933

Download citation: RISBibTeXText

PMID: 20045161

DOI: 10.1016/j.neurol.2009.10.018


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