Systematized delusions in a patient with covert hepatic encephalopathy: A clinicopathological insight into prodromal dementia with Lewy bodies
Selective Lewy body involvement, sparing the SN and neocortex, may explain the isolated psychiatric symptoms in the absence of Parkinsonism or dementia. Systemic conditions such as covert HE may have contributed to the emergence of persistent delusions. This case highlights the need for multidisciplinary approaches that integrate psychosomatic assessments with neuropathological investigations to evaluate late-onset psychosis.
Authors
- Youta Torii (ORCID: https://orcid.org/0000-0002-4202-0638)
- Ito Kawakami (ORCID: https://orcid.org/0000-0003-1989-2398)
- Hiroshige Fujishiro (ORCID: https://orcid.org/0000-0001-9822-5432)
- Kenji Ikeda (ORCID: https://orcid.org/0000-0001-7877-9016)
- Shusei Arafuka (ORCID: https://orcid.org/0000-0002-8700-8106)
- Shuji Iritani (ORCID: https://orcid.org/0000-0002-4588-4474)
- Kenichi Oshima
Institutions
- Fujita Health University (JP)
- Tokyo Metropolitan Matsuzawa Hospital (JP)
- Tokyo Metropolitan Institute of Medical Science (JP)
- Fujita Health University Hospital (JP)
- Nagoya University (JP)
Publication Details
- Journal
- Psychiatry and Clinical Neurosciences Reports
- Published
- 2025-11-11
- DOI
- https://doi.org/10.1002/pcn5.70247
- Primary Topic
- Psychosomatic Disorders and Their Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Japan Agency for Medical Research and Development