What is it about?
Olfactory hallucinations, which are the interpretation of smell without an actual olfactory input, are common but unfortunately not always recognized as a potentially neurological problem by medical providers or patients. Here, we describe a case with a two-year history of headaches accompanied by smelling a foul odor. The presentation eventually becomes consistent with Lewy body dementia.
Photo by Pawel Czerwinski on Unsplash
Why is it important?
This case is an example of an unusual presentation of a neurodegenerative disorder that commonly has a delay in diagnosis and/or misdiagnosis, therefore represents a teaching case that may help medical providers, patients, and family members/caregivers recognize possible Lewy body dementia sooner.
Read the Original
This page is a summary of: Headache-Associated Phantosmia as a Harbinger of Lewy Body Dementia, Journal of Neuropsychiatry, January 2023, American Psychiatric Association, DOI: 10.1176/appi.neuropsych.21110265.
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