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. 2000 Jan;7(1):77-9.
doi: 10.1046/j.1468-1331.2000.00021.x.

Fall-related injuries in dementia with Lewy bodies (DLB) and Alzheimer's disease

T Imamura  1 , N Hirono, M Hashimoto, H Kazui, S Tanimukai, T Hanihara, A Takahara, E Mori
Affiliations

Fall-related injuries in dementia with Lewy bodies (DLB) and Alzheimer's disease

T Imamura et al. Eur J Neurol. 2000 Jan.

Abstract

Repeated falls are reported as one of the clinical characteristics in dementia with Lewy bodies (DLB). We examined the incidence of fall-related injuries in 561 dementia patients with various clinical diagnoses, including DLB and Alzheimer's disease (AD), in a ward established for dementia research. The incidence of fall-related injuries was significantly higher in DLB patients (10.7%) than in AD patients (1.1%) (P < 0.001). The high incidence in those patients with DLB cannot be attributed to Parkinsonism because none of the DLB patients with injuries showed extrapyramidal sign. Our observations suggest that patients with a clinical diagnosis of DLB have a high risk of fall-related injuries, even though they do not show Parkinsonism. An appropriate clinical discrimination between DLB and AD is recommended to manage and prevent fall-related injuries.

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