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Table 2 Laboratory findings overlap and dissimilarities between dementia with Lewy bodies (DLB) and Parkinson disease-dementia (PDD)

From: Are dementia with Lewy bodies and Parkinson’s disease dementia the same disease?

Overlap

Dissimilarities

Decreased DAT binding in putamen

Reduced cardiac MIBG binding

Medial temporal lobe relative preservation

Occipital hypoperfusion

Similar EEG abnormalities

Similar metabolic decrease in cerebral cortex

GBA mutations

Grey matter cortical atrophy more frequent and more severe in DLB

White matter hyperintensities in temporal lobe more severe and more frequent in DLB

Different functional connectivity, corticostriatal disruption:PDD: frontal cortical disruption; DLB: parietal and occipital disruption

Greater amyloid binding in DLB

Tau-PET imaging more severe in DLB

Several genetic differences (APOE ε4, TFAM))

Decreased DAT binding in caudate related to functional impairment in DLB, not in PDD

SN sonography (size, asymmetry)

CSF AD profile more common in DLB

CSF αSyn oligomeres increased in PDD

  1. AD Alzheimer disease, DAT dopamine transporter, MIBG scintigraphy using metaiodobenzylguanidine labeled to Iodine-123 or Iodine-131, SN substantia nigra, CSF cerebrospinal fluid