2021 Volume 67 Issue 5 Pages 441-444
I have been involved in clinical practice and the research of dementia, focusing on Alzheimer’s disease. Alzheimer’s disease is the most common form of dementia in Japan and Dementia with Lewy Bodies is the second most common form. It was as a psychiatrist at Juntendo Koshigaya Hospital during the early stages of my career that I established the foundation of my interest in dementia. Here, I would like to describe the two autopsy cases of dementia that I experienced there. Although both of the patients were clinically diagnosed as having Alzheimer’s disease, the autopsies revealed a different definitive diagnosis. This discrepancy became the cornerstone of my clinical practice in dementia.