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March 3, 2026Neurology Open Access0 citationsOpen Access

Early Behavioral and Cognitive Changes in Patients With Pathologically Confirmed Alzheimer Disease, Lewy Body Dementia, and Mixed Dementia

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MWMing WangHWHongke WuABAaron Bonner-Jackson

Key Points

  • Mixed dementia shows distinct profiles of cognitive performance and behavioral symptoms, impacting diagnosis.
  • Key findings indicate that behavioral and psychological symptoms significantly influence clinical presentations of dementia.
  • Observational analysis distinguishes subtypes by assessing cognitive performance alongside behavioral symptoms in patients.
  • These findings may enable better understanding and management of diverse symptoms associated with Alzheimer's and Lewy body dementia.

Abstract

Alzheimer disease pathology (ADP) and Lewy body pathology (LBP) are traditionally associated with distinct cognitive profiles. However, growing evidence highlights the role of behavioral and psychological symptoms of dementia (BPSDs) in shaping clinical presentations. The combined influence of cognitive and behavioral symptoms across neuropathologically confirmed ADP, LBP, and mixed AD-LBP has not been systematically examined. The aim of this study was to identify clinically meaningful subtypes by jointly analyzing cognitive performance and BPSD profiles in individuals with autopsy-confirmed dementia pathology.

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Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/69a75ea1c6e9836116a296e3https://doi.org/10.1212/wn9.0000000000000055
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