Efficacy of donepezil for the treatment of visual and multiple sensory hallucinations in dementia with Lewy bodies

Abstract

In this manuscript, we present a case report of a patient suffering from dementia with Lewy bodies who experienced not only visual but also four other sensory hallucinations, which were interdependent and may have influenced the patient's behavior. To the best of our knowledge, based on our search of the literature, this is the first such reported case of dementia with Lewy bodies.In this paper, we review the literature related to drug therapy for dementia with Lewy bodies, and propose, based on our clinical observations, that cholinesterase inhibitors, including donepezil, should be used as first-line drugs for the treatment and management of psychotic symptoms, including all five sensory hallucinations, in dementia with Lewy bodies.