This week on the podcast, Professor Luke O’Neill turns his attention to a condition that’s often misunderstood and far more common than many people realise: Lewy Body Dementia. 

Requested by listener Eben Stewart ahead of World Lewy Body Dementia Day on January 28th, the episode looks at what causes LBD, how it differs from Alzheimer’s and Parkinson’s, and why so many people are living with it without a diagnosis. Around 10,000 people in Ireland are believed to have Lewy Body Dementia, yet only a fraction are formally on the register — a gap that has real consequences for care, treatment, and awareness. 

Luke explains how abnormal protein clumps, known as Lewy bodies, build up in nerve cells and trigger inflammation and neurodegeneration. LBD affects both cortical and sub-cortical regions of the brain. That helps explain why early symptoms are often cognitive rather than physical — confusion, memory problems, difficulty with decision-making, and, in many cases, vivid visual hallucinations and delusions. 

As the condition progresses, Parkinson’s-like symptoms such as tremor and rigidity usually emerge too. Treatment is complex and requires care, with some anti-psychotic medications risking a worsening of symptoms, while drugs like L-Dopa can help manage movement issues. Luke also talks about ongoing research, including work happening in his own lab on potential new treatments now in clinical trials. 

The episode also touches on why Lewy Body Dementia is more common in men, why it typically appears after the age of 50, and the role family history can play. And it reflects on the stories of well-known figures who lived with Parkinson’s and LBD, including Robin Williams, Glen Campbell and Michael J Fox, whose experiences helped shine a light on just how challenging — and misunderstood — LBD can be. 

Trinity College Dublin will host a Lewy Body Dementia awareness event on January 28th in Unit 18 on the Pearse Street campus from 12pm, as part of efforts to improve understanding and recognition of the condition.