In this condition, protein deposits of Alpha-synuclein called lewy bodies develop in nerve cells in brain regions involved in memory, reasoning, perception, thinking, behavior and movement. Many people with DLB experience movement symptoms such as hunched posture, rigid muscles, shuffling walk and trouble initiating movement. Lewy body dementia is the second most common kind of dementia after Alzheimer’s disease that gradually causes decline in mental ability. It may sometimes causes visual hallucination and unusual behaviors such as having conversations with deceased loved ones. It sometimes exists in pure form, or with other brain changes, including those commonly observed in Alzheimer's and Parkinson's diseases.
A study was conducted to explore the presenting and early symptoms of dementia with Lewy bodies (DLB) in Patients with mild dementia fulfilling diagnostic criteria for DLB (n = 61) recruited from outpatient dementia clinics in western Norway. At diagnosis, caregivers were asked which symptom had been the presenting symptom of dementia. Caregivers reported that memory impairment was the most common presenting symptom in DLB (57%), followed by visual hallucinations (44%), depression (34%), problem solving difficulties (33%), gait problems (28%), and tremor/stiffness (25%).