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増大特集 大脳皮質vs.大脳白質
文献概要
レヴィ小体型認知症とアルツハイマー病との鑑別点は，前者は記憶障害が軽度で，認知機能の変動，注意・遂行機能障害，視空間認知機能障害，幻視，うつ症状が強く，レム期睡眠行動異常症，パーキンソニズム，自律神経症状がみられることである。画像検査では，頭部MRIで内側側頭葉の萎縮が軽度で，脳血流シンチグラフィで後頭葉の血流低下が，MIBG心筋シンチグラフィでMIBG集積低下が，ドパミントランスポーター（DAT）シンチグラフィで線条体のDAT機能低下が認められることである。
参考文献
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