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Progressive supranuclear palsy

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812:, strength training with progressive resistive exercises, and isokinetic exercises and stretching of the neck muscles. While some case reports suggest that physiotherapy can offer improvements in balance and gait of patients with PSP, the results cannot be generalized across all PSP patients, as each case report followed only one or two patients. The observations made from these case studies can be useful however, in helping to guide future research concerning the effectiveness of balance and gait training programs in the management of PSP. 50: 364:, except that they are saccadic in nature, with no smooth phase. Although healthy individuals also make square-wave jerk movements, PSP patients make slower square-wave jerk movements, with smaller vertical components. Assessment of these square-wave jerks and diminished vertical saccades is especially useful for diagnosing progressive supranuclear palsy, because these movements set PSP patients apart from other parkinsonian patients. Difficulties with 677:. Both Parkinson's and PSP have an onset in late middle age and involve slowing and rigidity of movement. However, several distinguishing features exist. Tremor is very common with Parkinson's, but rare with PSP. Speech and swallowing difficulties are more common and severe with PSP and the abnormal eye movements of PSP are essentially absent with PD. A poor response to 485:, a normal part of a brain cell's internal structural skeleton. These tangles are often different from those seen in Alzheimer's disease, but may be structurally similar when they occur in the cerebral cortex. Their chemical composition is usually different, however, and is similar to that of tangles seen in 868:
Between 1877 and 1963, 22 well-documented case reports of PSP, although not described as a distinct disorder, had been identified in the literature of neurology. Progressive supranuclear palsy was first described as a distinct disorder by neurologists John Steele, John Richardson, and Jerzy Olszewski
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Richardson syndrome is characterized by the typical features of PSP. In PSP-P features of Parkinson’s Disease overlap with the clinical presentation of PSP and follows a more benign course. In both PSP-P and PSP- PAGF distribution of abnormal tau is relatively restricted to the brain stem. Frontal
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problems with reports of frequent falls. There has been research in the use of robot-assisted gait training. Evidence-based approaches to rehabilitation in PSP are lacking and, currently the majority of research on the subject consists of case reports involving only a small number of patients.
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In 1877, Charcot described a 40-year-old woman who had rigid-akinetic parkinsonism, neck dystonia, dysarthria, and eye-movement problems. In 1951, Chavany and others reported the clinical and pathologic features of a 50-year-old man with a rigid and akinetic form of parkinsonism with postural
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A person with progressive dementia, ataxia, and incontinence. A clinical diagnosis of normal-pressure hydrocephalus was entertained. Imaging did not support this, however, and on formal testing, abnormal nystagmus and eye movements were detected. A sagittal view of the
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Liepelt I, Gaenslen A, Godau J, Di Santo A, Schweitzer KJ, Gasser T, et al. (January 2010). "Rivastigmine for the treatment of dementia in patients with progressive supranuclear palsy: Clinical observations as a basis for power calculations and safety analysis".
70:, with preservation of the volume of the pons. This appearance has been called the "hummingbird sign" or "penguin sign". Also, atrophy of the tectum is seen, particularly the superior colliculi. These findings suggest the diagnosis of progressive supranuclear palsy. 819:. Due to their tendency to fall backwards, the use of a walker, particularly one that can be weighted in the front, is recommended instead of a cane. The use of an appropriate mobility aid helps to decrease the individual’s risk of falls and makes them safer to 648:
and then evolve into typical PSP. The phenotypes of PSP-P and PSP-PAGF are sometimes referred as the "brain stem" variants of PSP, as opposed to the "cortical" variants which present with predominant cortical features, including PSP-CBS, PSP-bvFTD, and PSP-PNFA.
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Hattori M, Hashizume Y, Yoshida M, Iwasaki Y, Hishikawa N, Ueda R, et al. (August 2003). "Distribution of astrocytic plaques in the corticobasal degeneration brain and comparison with tuft-shaped astrocytes in the progressive supranuclear palsy brain".
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can respond to nonspecific measures. The poor prognosis is predominantly attributed to the serious impact this condition has on the quality of life. The average age at symptoms onset is 63 and survival from onset averages seven years with a wide variance.
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independently in the community. Due to their balance problems and irregular movements, individuals need to spend time learning how to safely transfer in their homes and in the community. This may include rising from and sitting in chairs safely.
3606: 3591: 368:(convergence insufficiency), where the eyes come closer together while focusing on something near, like the pages of a book, is typical. Because the eyes have trouble coming together to focus at short distances, the patient may complain of 2011:
Wang LN, Zhu MW, Feng YQ, Wang JH (June 2006). "Pick's disease with Pick bodies combined with progressive supranuclear palsy without tuft-shaped astrocytes: a clinical, neuroradiologic and pathological study of an autopsied case".
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Katsuse O, Iseki E, Arai T, Akiyama H, Togo T, Uchikado H, et al. (September 2003). "4-repeat tauopathy sharing pathological and biochemical features of corticobasal degeneration and progressive supranuclear palsy".
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Komori T, Arai N, Oda M, Nakayama H, Mori H, Yagishita S, et al. (October 1998). "Astrocytic plaques and tufts of abnormal fibers do not coexist in corticobasal degeneration and progressive supranuclear palsy".
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instability, neck dystonia, dysarthria, and staring gaze. In 1974, the unique frontal lobe cognitive changes of progressive supranuclear palsy: apathy, loss of spontaneity, slowing of thought processes, and loss of
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France: Association PSP France, a nonprofit patient association set up in 1996 through the help of PSPA in the UK. It also gives support to French speaking patients in Quebec, Morocco, Algeria, Belgium and
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Richardson JC, Steele J, Olszewski J (1963). "Supranuclear Ophthalmoplegia, Pseudobulbar Palsy, Nuchal Dystonia and Dementia. A Clinical Report on Eight Cases of 'heterogenous System Degeneration'".
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Canada: PSP Society of Canada, a federally registered non-profit organization which serves patients and families dealing with PSP, CBD and MSA, set up in 2017 through the help of CurePSP in the USA
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posture of other Parkinsonian disorders, although PSP-Parkinsonism (see below) can demonstrate a stooped posture. Early falls are also more common with PSP, especially with Richardson syndrome.
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Kanazawa M, Tada M, Onodera O, Takahashi H, Nishizawa M, Shimohata T (2013). "Early clinical features of patients with progressive supranuclear palsy with predominant cerebellar ataxia".
3739: 406:), has been linked to PSP. Nearly all people with PSP received a copy of that variant from each parent, but this is true of about two-thirds of the general population. Therefore, the 333:
The visual symptoms are of particular importance in the diagnosis of this disorder. Patients typically complain of difficulty reading due to the inability to look downwards. The
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may help with cognitive aspects, but the authors of both studies have suggested that larger studies are needed. There is some evidence from small-scale studies that the hypnotic
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Individuals with PSP are often referred to occupational therapists to help manage their condition and to help enhance their independence. This may include being taught to use
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Other common early symptoms are changes in personality, general slowing of movement, and visual symptoms. The most common behavioural symptoms in patients with PSP include
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On close inspection, eye movements called "square-wave jerks" may be visible when the patient fixes gaze at distance. These are fine movements, that can be mistaken for
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frontal PSP, PSP-corticobasal syndrome (PSP-CBS), PSP-behavioural variant of frontotemporal dementia (PSP-bvFTD) and PSP-progressive non-fluent aphasia (PSP-PNFA)
299:, particularly in the vertical direction. The latter accounts for some of the falls experienced by these patients, as they find it difficult to look up or down. 2288:"Which clinical features differentiate progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome) from related disorders? A clinicopathological study" 653:
as the predominant early presenting feature is increasingly recognized as a very rare subtype of PSP (PSP-C) which is associated with severe neuronal loss with
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Due to the progressive nature of this disease, all individuals eventually lose their ability to walk and will need to progress to using a wheelchair. Severe
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Later symptoms and signs can include, but do not necessarily include dementia (typically including loss of inhibition and ability to organize information),
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The initial symptoms in two-thirds of cases are loss of balance, lunging forward when mobilizing, fast walking, bumping into objects or people, and falls.
3559: 2531:"Characteristics of two distinct clinical phenotypes in pathologically proven progressive supranuclear palsy: Richardson's syndrome and PSP-parkinsonism" 2264: 745:
for PSP is known. PSP cases are often split into two subgroups, PSP-Richardson (the classic type) and PSP-Parkinsonism, where a short-term response to
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US: CurePSP, a nonprofit organization for promoting awareness, care and research of PSP, CBD, MSA "and other prime of life neurodegenerative diseases"
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are slightly more likely to be affected than females. No association has been found between PSP and any particular race, location, or occupation.
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are seen in some cases, but whether this is a variant or an independent co-existing process is not clear, and in some cases, PSP can coexist with
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is also sometimes helpful. After a few years the Parkinsonian variant tends to take on Richardson features. Other variants have been described.
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Zhu MW, Wang LN, Li XH, Gui QP (April 2004). "" [Glial abnormalities in progressive supranuclear palsy and corticobasal degeneration].
1373:"A clinicopathological study of vascular progressive supranuclear palsy: A multi-infarct disorder presenting as progressive supranuclear palsy" 954: 4553: 4185: 2344: 1308: 1143: 379:, with a wide-eye stare, furrowing of forehead with a frowning expression, and deepening of other facial creases, is also diagnostic of PSP. 4391: 4379: 3841: 1752:
Dugger BN, Adler CH, Shill HA, Caviness J, Jacobson S, Driver-Dunckley E, et al. (Arizona Parkinson's Disease Consortium) (May 2014).
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Kertesz A, Munoz D (2004). "Relationship between frontotemporal dementia and corticobasal degeneration/progressive supranuclear palsy".
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Case reports of rehabilitation programs for patients with PSP generally include limb-coordination activities, tilt-board balancing,
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Dickson DW, Ahmed Z, Algom AA, Tsuboi Y, Josephs KA (August 2010). "Neuropathology of variants of progressive supranuclear palsy".
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Gearing M, Olson DA, Watts RL, Mirra SS (June 1994). "Progressive supranuclear palsy: neuropathologic and clinical heterogeneity".
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There are several organizations around the world that support PSP patients and the research into PSP and related diseases, such as
3434: 920: 698: 593:) to be variations of the same disease. Others consider them separate diseases. PSP has been shown occasionally to co-exist with 4432: 968: 59: 673:
because they both involve slowed movements and gait difficulty, with PSP being one of a collection of diseases referred to as
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Williams DR, Lees AJ (March 2009). "Progressive supranuclear palsy: clinicopathological concepts and diagnostic challenges".
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The cause of PSP is unknown. Fewer than 1% of those with PSP have a family member with the same disorder. A variant in the
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in 1963. They recognized the same clinical syndrome in eight patients, and described the autopsy findings in six of them.
4657: 4595: 3969: 497:, or tufted astrocytes, are also considered diagnostic. Unlike globose NFTs, they may be more widespread in the cortex. 3213:"Impact of Aspiration Pneumonia on the Clinical Course of Progressive Supranuclear Palsy: A Retrospective Cohort Study" 4105: 559: 960:
was diagnosed with PSP in 2023, after having been diagnosed incorrectly with Parkinson's disease earlier that year.
4583: 4133: 3805: 3198:"'I don't want to believe I have an incurable brain disease, but I know I have' - former RTE presenter Kieron Wood" 605: 4475: 4533: 4501: 4453: 4302: 3881: 1662:"Clinical Features of Patients with Concomitant Parkinson's Disease and Progressive Supranuclear Palsy Pathology" 878: 582: 502: 486: 436: 411: 199: 133: 4600: 4374: 3788: 3632: 1113: 4605: 1216: 4538: 4294: 4112: 3964: 3954: 3798: 2488:
O'Sullivan SS, Massey LA, Williams DR, Silveira-Moriyama L, Kempster PA, Holton JL, et al. (May 2008).
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Based on the pathological findings in confirmed cases of PSP, it is divided into the following categories:
4672: 4470: 4462: 4417: 4093: 4065: 3913: 948: 670: 506: 341:, which is often worse with downward saccades. Patients tend to have difficulty looking down (a downgaze 296: 231: 223: 141: 129: 124: 2707: 2418: 1539:"Neuropathologic overlap of progressive supranuclear palsy, Pick's disease and corticobasal degeneration" 1347: 896:
UK: PSPA, a national charity for information, patient support and research of PSP and CBD, set up in 1995
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will correct when the examiner passively rolls the patient's head up and down as part of a test for the
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experienced by these patients mainly concerns voluntary eye movement and the inability to make vertical
292: 49: 3026:"Effects of robot assisted gait training in progressive supranuclear palsy (PSP): a preliminary report" 2683: 2648: 428:, combined with vascular dysfunction, seems to be a factor of vascular progressive supranuclear palsy. 3106:
van Balken I, Litvan I (May 2006). "Current and future treatments in progressive supranuclear palsy".
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Caparros-Lefebvre D, Sergeant N, Lees A, Camuzat A, Daniel S, Lannuzel A, et al. (April 2002).
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PSP affects about six people per 100,000. The first symptoms typically occur at 60–70 years of age.
4351: 3998: 3853: 3793: 3610: 862: 706: 608:(MRI) is often used to diagnose PSP. MRI may show atrophy in the midbrain with preservation of the 520: 2438:"Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury" 4677: 4521: 4506: 4494: 4244: 4195: 4032: 3895: 3783: 3694: 3350: 3179: 3131: 2884: 2840: 2756: 2436:
McKee AC, Cantu RC, Nowinski CJ, Hedley-Whyte ET, Gavett BE, Budson AE, et al. (July 2009).
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Litvan I, Campbell G, Mangone CA, Verny M, McKee A, Chaudhuri KR, et al. (January 1997).
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Caparros-Lefebvre D, Sergeant N, Lees A, Camuzat A, Daniel S, Lannuzel A, et al. (2002).
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Williams DR, de Silva R, Paviour DC, Pittman A, Watt HC, Kilford L, et al. (June 2005).
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Amano N, Iwabuchi K, Yokoi S, Yagishita S, Itoh Y, Saitoh A, et al. (January 1989). "".
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Tomita S, Oeda T, Umemura A, Kohsaka M, Park K, Yamamoto K, et al. (August 13, 2015).
1989: 4329: 4020: 3321:"Progressive supranuclear palsy: new disease or variant of postencephalitic parkinsonism?" 2370:"Predictors of falls and fractures in bradykinetic rigid syndromes: a retrospective study" 2154: 964: 957: 925: 725: 658: 565: 547: 528: 3411: 3228: 1596: 1580:"Lewy bodies in progressive supranuclear palsy represent an independent disease process" 1579: 4386: 4335: 4163: 3872: 3749: 3247: 3212: 3052: 3025: 2596: 2571: 2462: 2437: 2394: 2369: 2155:"Guadeloupean parkinsonism: A cluster of progressive supranuclear palsy-like tauopathy" 2130: 2105: 2081: 2056: 1778: 1753: 1686: 1661: 1660:
Rigby HB, Dugger BN, Hentz JG, Adler CH, Beach TG, Shill HA, et al. (March 2015).
1506: 1497: 1481: 1414:"Guadeloupean parkinsonism: a cluster of progressive supranuclear palsy-like tauopathy" 1273: 1246: 1188: 1163: 1036: 1009: 944: 852:
is a frequent cause of death, often caused by accidental aspiration of food particles.
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PSP can also be misdiagnosed as Alzheimer's disease because of the behavioral changes.
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Steele JC, Richardson JC, Olszewski J (April 1964). "Progressive Supranuclear Palsy".
3296: 3271: 2744: 4651: 4412: 4364: 4234: 4003: 3959: 3810: 3463: 2844: 2242: 2025: 1769: 1555: 1538: 809: 766: 701:(CTE) shows many similarities with PSP, because both share the following attributes: 555: 516: 376: 273: 3683: 3516:"'Zoey's Extraordinary Playlist' Boss on That Devastating Finale and Season 2 Plans" 3354: 3183: 3135: 3024:
Sale P, Stocchi F, Galafate D, De Pandis MF, Le Pera D, Sova I, et al. (2014).
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was diagnosed with PSP in 1999, and died of complications from the disease in 2002.
540:(the portion of the midbrain where "supranuclear" eye movement resides), as well as 3908: 3778: 3761: 2760: 1962: 937: 915: 912: 816: 777: 551: 541: 327: 2708:"Progressive Supranuclear Palsy – NORD (National Organization for Rare Disorders)" 2057:"The Hummingbird sign: a diagnostic clue for Steele-Richardson-Olszweski syndrome" 17: 3637: 3237: 2490:"Clinical outcomes of progressive supranuclear palsy and multiple system atrophy" 2453: 2207: 1179: 796:, speech-language pathology for motor speech changes (typically a spastic-ataxic 3867: 3828: 3770: 3667: 2872: 2587: 1389: 1372: 709: 574: 498: 490: 482: 474: 388: 307: 235: 211: 93: 3648: 2985:"Progressive supranuclear palsy: disease profile and rehabilitation strategies" 2915: 684:
Patients with the Richardson variant of PSP tend to have an upright posture or
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PSP initially presents with behavioral and cognitive symptoms, with or without
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Steele–Richardson–Olszewski syndrome, frontotemporal dementia with parkinsonism
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Ireland: PSPAI, an organization which aims to increase public awareness of PSP
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No effective treatment or cure has been found for PSP, although some of the
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PSP-parkinsonism (PSP-P) and PSP-pure akinesia with gait freezing (PSP-PAGF)
533: 494: 448: 432: 425: 415: 395: 361: 281: 234:. The cause of the condition is uncertain, but involves the accumulation of 172: 80: 3419: 3384: 3346: 3256: 3175: 3127: 3061: 3010: 3001: 2984: 2964: 2923: 2880: 2836: 2801: 2752: 2605: 2556: 2547: 2530: 2515: 2506: 2489: 2471: 2403: 2250: 2215: 2180: 2171: 2139: 2090: 2033: 1997: 1910: 1866: 1822: 1787: 1695: 1646: 1621:"Progressive supranuclear palsy: a review of co-existing neurodegeneration" 1605: 1515: 1439: 1430: 1413: 1398: 1282: 1197: 1099: 1090: 1073: 1045: 577:, particularly the area where some control of the bladder and bowel resides 3305: 3287: 2313: 1954: 1946: 1730: 1722: 1564: 1466: 4268: 4260: 4226: 4080: 3983: 3700: 820: 781: 762: 746: 689: 685: 681:, along with symmetrical onset can also help differentiate PSP from PD. 678: 458: 369: 262: 202:
involving the gradual deterioration and death of specific volumes of the
101: 67: 2828: 2121: 1677: 844: 654: 590: 470: 346: 338: 277: 137: 3583: 3488: 3337: 3320: 1814: 342: 4307: 4048: 4015: 3595: 1247:"Microsaccade Characteristics in Neurological and Ophthalmic Disease" 537: 303: 269: 239: 161: 3560:"Rep. Jennifer Wexton will not seek reelection as diagnosis changes" 1754:"Concomitant pathologies among a spectrum of parkinsonian disorders" 222:. PSP may be mistaken for other types of neurodegeneration such as 4563:
Spinal muscular atrophy with lower extremity predominance (SMALED)
2336: 3451: 3435:"Progressive supranuclear palsy: cognitive and behavioral changes" 2937:
Barsottini OG, Felício AC, Aquino CC, Pedroso JL (December 2010).
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Barsottini OG, Felício AC, Aquino CC, Pedroso JL (December 2010).
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was diagnosed with PSP in 2019, following an initial diagnosis of
832: 758: 345:) followed by the addition of an upgaze palsy. This vertical gaze 203: 3475: 2902:
Abe K (January 2008). "Zolpidem therapy for movement disorders".
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Textbook of Clinical Neuropsychiatry and Behavioral Neuroscience
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Josephs KA, Ishizawa T, Tsuboi Y, Cookson N, Dickson DW (2002).
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symptoms are also initially seen in about one in five cases.
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Golbe LI (November 2001). "Progressive Supranuclear Palsy".
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Uchikado H, DelleDonne A, Ahmed Z, Dickson DW (April 2006).
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Zhonghua Bing Li Xue Za Zhi = Chinese Journal of Pathology
2267:. National Institute of Neurological Disorders and Stroke 1240: 1238: 1134:
Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC (2012).
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Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL (2016).
967:(1944–2014), the first Deaf actor to earn a Tony Award ( 924:, the title character's father (Mitch Clarke, played by 657:
and higher densities of coiled bodies in the cerebellar
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Transactions of the American Neurological Association
2106:"Clinical Approach to Progressive Supranuclear Palsy" 753:
is an occasional but rare complication of treatment.
314:, a backward tilt of the head with stiffening of the 3573: 1584:
Journal of Neuropathology and Experimental Neurology
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Journal of Neuropathology and Experimental Neurology
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Supranuclear Palsy, Progressive, 1; PSNP1 - 601104
1245:Alexander RG, Macknik SL, Martinez-Conde S (2018). 512:The principal areas of the brain affected are the: 181: 171: 155: 147: 123: 115: 107: 86: 74: 39: 34: 3276:Journal of Neurology, Neurosurgery, and Psychiatry 2576:Journal of Neurology, Neurosurgery, and Psychiatry 2374:Journal of Neurology, Neurosurgery, and Psychiatry 1537:Feany MB, Mattiace LA, Dickson DW (January 1996). 1008:Shukla R, Sinha M, Kumar R, Singh D (April 2009). 792:Patients with PSP usually seek or are referred to 439:seems to be a factor involved in PSP. Especially, 151:Medication, physical therapy, occupational therapy 1138:(6th ed.). Elsevier Saunders. p. 1778. 865:, were first described by Albert and colleagues. 3319:Brusa A, Stoehr R, Pramstaller PP (March 2004). 2673:"What's New in Progressive Supranuclear Palsy?" 1352:NORD (National Organization for Rare Disorders) 936:English actor, comedian, musician and composer 2939:"Progressive supranuclear palsy: new concepts" 2776:"Progressive supranuclear palsy: new concepts" 784:may improve motor function and eye movements. 3733: 3366: 3364: 3101: 3099: 3097: 3095: 2483: 2481: 1625:The Canadian Journal of Neurological Sciences 1114:"ICD-11 - Mortality and Morbidity Statistics" 461:) are implicated in PSP-like brain injuries. 282:a profound state of unease or dissatisfaction 8: 3149: 3147: 3145: 2368:Williams DR, Watt HC, Lees AJ (April 2006). 375:A characteristic facial appearance known as 353:. Involuntary eye movement, as elicited by 206:. The condition leads to symptoms including 2978: 2976: 2974: 2815:Nijboer H, Dautzenberg PL (June 2009). "". 2265:"Progressive Supranuclear Palsy Fact Sheet" 1217:"Symptoms - Progressive supranuclear palsy" 1067: 1065: 1063: 1061: 1059: 1057: 1055: 177:Fatal (usually 7–10 years after diagnosis) 4458: 4449: 4218: 3886: 3877: 3766: 3740: 3726: 3718: 3574: 2817:Tijdschrift voor Gerontologie en Geriatrie 2649:"Orphanet: Progressive supranuclear palsy" 1803:Dementia and Geriatric Cognitive Disorders 357:, for instance, may be closer to normal. 31: 3336: 3295: 3246: 3236: 3051: 3041: 3000: 2954: 2791: 2620:"What is progressive supranuclear palsy?" 2595: 2546: 2505: 2461: 2393: 2303: 2170: 2129: 2080: 1777: 1685: 1636: 1595: 1554: 1505: 1429: 1388: 1294: 1292: 1272: 1262: 1187: 1089: 1035: 1025: 3541:"Linda Ronstadt Has Found Another Voice" 3270:Albert ML, Willis A, Feldman RG (1974). 1619:Keith-Rokosh J, Ang LC (November 2008). 1301:Bradley's neurology in clinical practice 1136:Bradley's neurology in clinical practice 800:), and physical therapy for balance and 1000: 985:(Parkinsonism-Dementia Complex of Guam) 624:classical Richardson syndrome (PSP-RS) 414:to cause PSP. Other genes, as well as 238:within the brain. Medications such as 4529:Distal hereditary motor neuronopathies 4202:Template:Demyelinating diseases of CNS 3156:Current Treatment Options in Neurology 3108:Current Treatment Options in Neurology 4668:Extrapyramidal and movement disorders 3433:Hershey L, Lichter D (10 June 2016). 2983:Zampieri C, Di Fabio RP (June 2006). 2055:Sonthalia N, Ray S (September 2012). 1480:Buée L, Delacourte A (October 1999). 1211: 1209: 1207: 1014:Annals of Indian Academy of Neurology 7: 4380:Idiopathic intracranial hypertension 3412:10.1001/archneur.1964.00460160003001 2904:Recent Patents on CNS Drug Discovery 1990:10.3760/j.issn:0529-5807.2004.02.008 1758:Parkinsonism & Related Disorders 1666:Movement Disorders Clinical Practice 1157: 1155: 1129: 1127: 741:Management is only supportive as no 509:, particularly with older patients. 1597:10.1097/01.jnen.0000218449.17073.43 1332:Online Mendelian Inheritance in Man 4611:Infantile progressive bulbar palsy 1498:10.1111/j.1750-3639.1999.tb00550.x 669:PSP is frequently misdiagnosed as 469:The affected brain cells are both 25: 4314:Template:Cerebrovascular diseases 4117:Frontotemporal lobar degeneration 831:often follows, and at this point 302:Some of the other signs are poor 4334:For more detailed coverage, see 4312:For more detailed coverage, see 4283:For more detailed coverage, see 4249:For more detailed coverage, see 4200:For more detailed coverage, see 3539:Schulman M (September 1, 2019). 3076:"Progressive Supranuclear Palsy" 2419:"Progressive Supranuclear Palsy" 2243:10.1016/j.parkreldis.2013.07.019 2026:10.1111/j.1440-1789.2006.00671.x 1770:10.1016/j.parkreldis.2014.02.012 1556:10.1097/00005072-199601000-00006 1348:"Progressive Supranuclear Palsy" 1074:"Progressive supranuclear palsy" 776:Two studies have suggested that 699:Chronic traumatic encephalopathy 48: 3558:Portnoy J (18 September 2023). 2956:10.1590/S0004-282X2010000600020 2793:10.1590/s0004-282x2010000600020 1455:No to Shinkei = Brain and Nerve 3695:Progressive supranuclear palsy 372:(double vision) when reading. 192:Progressive supranuclear palsy 35:Progressive supranuclear palsy 1: 4627:Amyotrophic lateral sclerosis 4512:Hereditary spastic paraplegia 4370:Normal pressure hydrocephalus 2943:Arquivos de Neuro-Psiquiatria 2780:Arquivos de Neuro-Psiquiatria 2745:10.1016/S1474-4422(09)70042-0 2331:. CRC Press. pp. 400–1. 2110:Journal of Movement Disorders 921:Zoey's Extraordinary Playlist 835:is often a matter of months. 612:giving a "hummingbird" sign. 246:may be useful in some cases. 4596:Progressive muscular atrophy 3238:10.1371/journal.pone.0135823 2454:10.1097/NEN.0b013e3181a9d503 2208:10.1097/WCO.0b013e32833be924 2196:Current Opinion in Neurology 1180:10.1212/CON.0000000000000300 481:(NFTs), which are clumps of 412:necessary but not sufficient 4106:Primary progressive aphasia 3464:PSP France - Notre histoire 2873:10.1016/j.jalz.2009.04.1231 2588:10.1136/jnnp.72.suppl_1.i10 1390:10.1001/archneur.59.10.1597 560:frontotemporal degeneration 550:, particularly that of the 4694: 4428:Hashimoto's encephalopathy 4134:Posterior cortical atrophy 3955:Striatonigral degeneration 3806:Cavernous sinus thrombosis 2916:10.2174/157488908783421519 2861:Alzheimer's & Dementia 2327:Moore DP, Puri BK (2012). 1164:"Frontotemporal Dementias" 761:can be used to treat neck 606:Magnetic resonance imaging 216:difficulty moving the eyes 66:scan shows atrophy of the 4534:Spinal muscular atrophies 4502:Primary lateral sclerosis 4360:Intracranial hypertension 4140:Creutzfeldt–Jakob disease 3514:Bentley J (May 3, 2020). 3168:10.1007/s11940-001-0010-0 3120:10.1007/s11940-006-0012-z 2231:Parkinsonism Relat Disord 1903:10.1007/s00401-003-0711-4 1859:10.1007/s00401-003-0728-8 1638:10.1017/S0317167100009392 973:), passed away from PSP. 963:Tony Award-winning actor 879:corticobasal degeneration 769:, but this can aggravate 712:in neurons or glial cells 583:corticobasal degeneration 503:corticobasal degeneration 487:corticobasal degeneration 437:mitochondrial dysfunction 200:neurodegenerative disease 134:corticobasal degeneration 56: 47: 4601:Progressive bulbar palsy 4392:Intracranial hypotension 4375:Choroid plexus papilloma 3789:Herpesviral encephalitis 3043:10.3389/fnhum.2014.00207 2570:Brooks DJ (March 2002). 2442:J Neuropathol Exp Neurol 2386:10.1136/jnnp.2005.074070 1264:10.3389/fneur.2018.00144 1162:Finger EC (April 2016). 970:Children of a Lesser God 724:Involve the superficial 675:Parkinson plus syndromes 410:haplotype appears to be 4113:Frontotemporal dementia 3799:Encephalitis lethargica 2104:Ling H (January 2016). 2073:10.1136/bcr-2012-006263 1072:Golbe LI (April 2014). 1027:10.4103/0972-2327.53087 883:multiple system atrophy 587:frontotemporal dementia 479:neurofibrillary tangles 441:mitochondrial complex I 228:frontotemporal dementia 4418:Hepatic encephalopathy 3520:The Hollywood Reporter 3504:, re-linked 2020-01-20 3478:, re-linked 2020-01-20 3466:, re-linked 2020-01-20 3454:, re-linked 2020-01-20 2305:10.1093/brain/120.1.65 1251:Frontiers in Neurology 1174:(2 Dementia): 464–89. 1091:10.1055/s-0034-1381736 665:Differential diagnosis 505:, Parkinson's, and/or 477:. The neurons display 125:Differential diagnosis 98:difficulty moving eyes 4663:Corticobasal syndrome 4476:Ataxia–telangiectasia 4433:Static encephalopathy 4156:Mitochondrial disease 3994:Spasmodic torticollis 3904:Basal ganglia disease 3452:PSP Society of Canada 3400:Archives of Neurology 3288:10.1136/jnnp.37.2.121 3080:CCF for PSP Awareness 2733:The Lancet. Neurology 2624:Movementdisorders.org 1947:10.1007/s004010050911 1935:Acta Neuropathologica 1891:Acta Neuropathologica 1847:Acta Neuropathologica 1723:10.1212/wnl.44.6.1015 1377:Archives of Neurology 1078:Seminars in Neurology 911:In the 2020 American 293:difficulty swallowing 4423:Toxic encephalopathy 4129:Lewy bodies dementia 3002:10.1093/ptj/86.6.870 2582:(Suppl 1): I10–I16. 2548:10.1093/brain/awh488 2507:10.1093/brain/awn065 2423:www.rarediseases.org 2172:10.1093/brain/awf086 1431:10.1093/brain/awf086 983:Lytico-bodig disease 794:occupational therapy 715:Accumulation of tau- 688:, as opposed to the 443:inhibitors (such as 416:environmental toxins 389:gene for tau protein 351:oculocephalic reflex 324:urinary incontinence 274:a lack of inhibition 220:cognitive impairment 4658:Cognitive disorders 4471:Friedreich's ataxia 3854:Meningoencephalitis 3794:Limbic encephalitis 3229:2015PLoSO..1035823T 949:Parkinson's disease 918:television series, 873:Society and culture 863:executive functions 707:hyperphosphorylated 671:Parkinson's disease 581:Some consider PSP, 536:, particularly the 521:subthalamic nucleus 519:, particularly the 507:Alzheimer's disease 457:plants, as well as 232:Alzheimer's disease 224:Parkinson's disease 212:slowing of movement 142:Alzheimer's disease 130:Parkinson's disease 4507:Pseudobulbar palsy 4245:Status epilepticus 4196:Multiple sclerosis 4033:Myoclonic epilepsy 3896:movement disorders 3842:Acute disseminated 3784:Viral encephalitis 3659:External resources 3491:. 18 October 2013. 3325:Movement Disorders 3200:. 21 October 2019. 3030:Front Hum Neurosci 2829:10.1007/BF03079574 2122:10.14802/jmd.15060 1678:10.1002/mdc3.12104 907:In popular culture 421:Additionally, the 289:slurring of speech 257:Signs and symptoms 198:) is a late-onset 92:Impaired balance, 18:Supranuclear palsy 4645: 4644: 4641: 4640: 4637: 4636: 4441: 4440: 4346: 4345: 4285:Template:Headache 4251:Template:Epilepsy 4172: 4171: 4146:Vascular dementia 3989:Status dystonicus 3862: 3861: 3837:Encephalomyelitis 3715: 3714: 3439:MedLink Neurology 3338:10.1002/mds.10699 2541:(Pt 6): 1247–58. 2500:(Pt 5): 1362–72. 2346:978-1-4441-6494-7 2067:: bcr2012006263. 1815:10.1159/000077155 1310:978-0-323-28783-8 1145:978-1-4377-0434-1 955:US Representative 749:can be obtained. 705:Accumulations of 651:Cerebellar ataxia 355:Bell's phenomenon 295:, and difficulty 189: 188: 29:Medical condition 16:(Redirected from 4685: 4459: 4450: 4408:Brain herniation 4219: 4059:Intention tremor 4054:Essential tremor 3919:Postencephalitic 3887: 3878: 3767: 3748:Diseases of the 3742: 3735: 3728: 3719: 3575: 3568: 3567: 3555: 3549: 3548: 3536: 3530: 3529: 3527: 3526: 3511: 3505: 3499: 3493: 3492: 3485: 3479: 3473: 3467: 3461: 3455: 3449: 3443: 3442: 3430: 3424: 3423: 3395: 3389: 3388: 3368: 3359: 3358: 3340: 3316: 3310: 3309: 3299: 3267: 3261: 3260: 3250: 3240: 3208: 3202: 3201: 3194: 3188: 3187: 3151: 3140: 3139: 3103: 3090: 3089: 3087: 3086: 3072: 3066: 3065: 3055: 3045: 3021: 3015: 3014: 3004: 2989:Physical Therapy 2980: 2969: 2968: 2958: 2934: 2928: 2927: 2899: 2893: 2892: 2855: 2849: 2848: 2812: 2806: 2805: 2795: 2771: 2765: 2764: 2728: 2722: 2721: 2719: 2718: 2712:Rarediseases.org 2704: 2698: 2697: 2695: 2694: 2688: 2682:. Archived from 2677: 2669: 2663: 2662: 2660: 2659: 2645: 2639: 2638: 2636: 2635: 2626:. Archived from 2616: 2610: 2609: 2599: 2567: 2561: 2560: 2550: 2526: 2520: 2519: 2509: 2485: 2476: 2475: 2465: 2433: 2427: 2426: 2414: 2408: 2407: 2397: 2365: 2359: 2358: 2324: 2318: 2317: 2307: 2283: 2277: 2276: 2274: 2272: 2261: 2255: 2254: 2226: 2220: 2219: 2191: 2185: 2184: 2174: 2150: 2144: 2143: 2133: 2101: 2095: 2094: 2084: 2061:BMJ Case Reports 2052: 2046: 2045: 2008: 2002: 2001: 1973: 1967: 1966: 1929: 1923: 1922: 1885: 1879: 1878: 1841: 1835: 1834: 1798: 1792: 1791: 1781: 1749: 1743: 1742: 1706: 1700: 1699: 1689: 1657: 1651: 1650: 1640: 1616: 1610: 1609: 1599: 1575: 1569: 1568: 1558: 1534: 1528: 1527: 1509: 1477: 1471: 1470: 1450: 1444: 1443: 1433: 1424:(Pt 4): 801–11. 1409: 1403: 1402: 1392: 1383:(10): 1597–601. 1368: 1362: 1361: 1359: 1358: 1344: 1338: 1329: 1323: 1322: 1296: 1287: 1286: 1276: 1266: 1242: 1233: 1232: 1230: 1228: 1223:. 14 August 2018 1213: 1202: 1201: 1191: 1159: 1150: 1149: 1131: 1122: 1121: 1110: 1104: 1103: 1093: 1069: 1050: 1049: 1039: 1029: 1005: 943:American singer 646:ophthalmoparesis 525:substantia nigra 335:ophthalmoparesis 320:sleep disruption 94:slowed movements 52: 32: 21: 4693: 4692: 4688: 4687: 4686: 4684: 4683: 4682: 4648: 4647: 4646: 4633: 4559:Congenital DSMA 4480: 4437: 4396: 4342: 4330:Sleep disorders 4318: 4295:Cerebrovascular 4289: 4255: 4212: 4206: 4168: 4150: 4075: 4021:Choreoathetosis 3894: 3871: 3858: 3822: 3756: 3746: 3716: 3711: 3710: 3654: 3653: 3586: 3572: 3571: 3564:Washington Post 3557: 3556: 3552: 3538: 3537: 3533: 3524: 3522: 3513: 3512: 3508: 3500: 3496: 3487: 3486: 3482: 3474: 3470: 3462: 3458: 3450: 3446: 3432: 3431: 3427: 3397: 3396: 3392: 3370: 3369: 3362: 3318: 3317: 3313: 3269: 3268: 3264: 3223:(8): e0135823. 3210: 3209: 3205: 3196: 3195: 3191: 3153: 3152: 3143: 3105: 3104: 3093: 3084: 3082: 3074: 3073: 3069: 3023: 3022: 3018: 2982: 2981: 2972: 2936: 2935: 2931: 2901: 2900: 2896: 2857: 2856: 2852: 2814: 2813: 2809: 2773: 2772: 2768: 2730: 2729: 2725: 2716: 2714: 2706: 2705: 2701: 2692: 2690: 2686: 2675: 2671: 2670: 2666: 2657: 2655: 2647: 2646: 2642: 2633: 2631: 2618: 2617: 2613: 2569: 2568: 2564: 2528: 2527: 2523: 2487: 2486: 2479: 2435: 2434: 2430: 2416: 2415: 2411: 2367: 2366: 2362: 2347: 2326: 2325: 2321: 2298:(Pt 1): 65–74. 2285: 2284: 2280: 2270: 2268: 2263: 2262: 2258: 2237:(12): 1149–51. 2228: 2227: 2223: 2193: 2192: 2188: 2152: 2151: 2147: 2103: 2102: 2098: 2054: 2053: 2049: 2010: 2009: 2005: 1975: 1974: 1970: 1931: 1930: 1926: 1887: 1886: 1882: 1843: 1842: 1838: 1800: 1799: 1795: 1751: 1750: 1746: 1708: 1707: 1703: 1659: 1658: 1654: 1618: 1617: 1613: 1577: 1576: 1572: 1536: 1535: 1531: 1486:Brain Pathology 1479: 1478: 1474: 1457:(in Japanese). 1452: 1451: 1447: 1411: 1410: 1406: 1370: 1369: 1365: 1356: 1354: 1346: 1345: 1341: 1330: 1326: 1311: 1298: 1297: 1290: 1244: 1243: 1236: 1226: 1224: 1215: 1214: 1205: 1161: 1160: 1153: 1146: 1133: 1132: 1125: 1112: 1111: 1107: 1071: 1070: 1053: 1007: 1006: 1002: 997: 979: 965:Phyllis Frelich 958:Jennifer Wexton 934: 926:Peter Gallagher 909: 875: 858: 841: 790: 739: 734: 726:cortical layers 690:stooped-forward 667: 659:dentate nucleus 636:PSP induced by 618: 603: 566:dentate nucleus 548:cerebral cortex 529:globus pallidus 467: 465:Pathophysiology 385: 297:moving the eyes 259: 208:loss of balance 30: 23: 22: 15: 12: 11: 5: 4691: 4689: 4681: 4680: 4675: 4670: 4665: 4660: 4650: 4649: 4643: 4642: 4639: 4638: 4635: 4634: 4632: 4631: 4630: 4629: 4618: 4617: 4616: 4615: 4614: 4613: 4608: 4598: 4593: 4592: 4591: 4586: 4581: 4580: 4579: 4574: 4569: 4561: 4556: 4551: 4546: 4541: 4531: 4517: 4516: 4515: 4514: 4509: 4504: 4490: 4488: 4482: 4481: 4479: 4478: 4473: 4467: 4465: 4456: 4447: 4443: 4442: 4439: 4438: 4436: 4435: 4430: 4425: 4420: 4415: 4410: 4404: 4402: 4398: 4397: 4395: 4394: 4389: 4387:Cerebral edema 4384: 4383: 4382: 4377: 4372: 4367: 4356: 4354: 4348: 4347: 4344: 4343: 4341: 4340: 4339: 4338: 4336:Template:Sleep 4326: 4324: 4320: 4319: 4317: 4316: 4310: 4305: 4299: 4297: 4291: 4290: 4288: 4287: 4281: 4276: 4271: 4265: 4263: 4257: 4256: 4254: 4253: 4247: 4242: 4237: 4231: 4229: 4216: 4208: 4207: 4205: 4204: 4198: 4193: 4188: 4182: 4180: 4174: 4173: 4170: 4169: 4167: 4166: 4164:Leigh syndrome 4160: 4158: 4152: 4151: 4149: 4148: 4137: 4136: 4131: 4126: 4125: 4124: 4110: 4109: 4108: 4103: 4102: 4101: 4085: 4083: 4077: 4076: 4074: 4073: 4068: 4063: 4062: 4061: 4056: 4045: 4044: 4043: 4042: 4037: 4036: 4035: 4025: 4024: 4023: 4013: 4008: 4007: 4006: 4001: 3996: 3991: 3975: 3974: 3973: 3972: 3967: 3962: 3957: 3952: 3951: 3950: 3940: 3939: 3938: 3928: 3927: 3926: 3921: 3916: 3900: 3898: 3891:Extrapyramidal 3884: 3875: 3873:encephalopathy 3864: 3863: 3860: 3859: 3857: 3856: 3851: 3846: 3845: 3844: 3833: 3831: 3824: 3823: 3821: 3820: 3819: 3818: 3808: 3803: 3802: 3801: 3796: 3791: 3786: 3775: 3773: 3764: 3758: 3757: 3750:nervous system 3747: 3745: 3744: 3737: 3730: 3722: 3713: 3712: 3709: 3708: 3697: 3686: 3675: 3663: 3662: 3660: 3656: 3655: 3652: 3651: 3640: 3629: 3618: 3603: 3587: 3582: 3581: 3579: 3578:Classification 3570: 3569: 3550: 3545:The New Yorker 3531: 3506: 3494: 3480: 3468: 3456: 3444: 3425: 3390: 3360: 3311: 3282:(2): 121–130. 3262: 3203: 3189: 3141: 3091: 3067: 3016: 2970: 2929: 2894: 2850: 2807: 2766: 2723: 2699: 2664: 2640: 2611: 2562: 2521: 2477: 2428: 2409: 2360: 2345: 2337:10.1201/b13258 2319: 2278: 2256: 2221: 2202:(4): 394–400. 2186: 2165:(4): 801–811. 2145: 2096: 2047: 2014:Neuropathology 2003: 1980:(in Chinese). 1968: 1924: 1880: 1836: 1793: 1744: 1717:(6): 1015–24. 1701: 1652: 1611: 1570: 1529: 1472: 1445: 1404: 1363: 1339: 1324: 1309: 1288: 1234: 1203: 1151: 1144: 1123: 1105: 1051: 999: 998: 996: 993: 992: 991: 986: 978: 975: 945:Linda Ronstadt 933: 930: 908: 905: 904: 903: 900: 897: 894: 890: 874: 871: 857: 854: 840: 837: 789: 788:Rehabilitation 786: 738: 735: 733: 730: 729: 728: 722: 717:immunoreactive 713: 666: 663: 641: 640: 634: 631: 628: 625: 617: 614: 602: 599: 595:Pick's disease 579: 578: 572: 563: 558:(similarly to 545: 531: 466: 463: 384: 381: 312:facial muscles 258: 255: 187: 186: 183: 179: 178: 175: 169: 168: 159: 153: 152: 149: 145: 144: 127: 121: 120: 117: 113: 112: 109: 105: 104: 90: 84: 83: 78: 72: 71: 54: 53: 45: 44: 41: 37: 36: 28: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4690: 4679: 4676: 4674: 4673:Rare diseases 4671: 4669: 4666: 4664: 4661: 4659: 4656: 4655: 4653: 4628: 4625: 4624: 4623: 4620: 4619: 4612: 4609: 4607: 4604: 4603: 4602: 4599: 4597: 4594: 4590: 4587: 4585: 4582: 4578: 4575: 4573: 4570: 4568: 4565: 4564: 4562: 4560: 4557: 4555: 4552: 4550: 4547: 4545: 4542: 4540: 4537: 4536: 4535: 4532: 4530: 4527: 4526: 4525: 4523: 4519: 4518: 4513: 4510: 4508: 4505: 4503: 4500: 4499: 4498: 4496: 4492: 4491: 4489: 4487: 4483: 4477: 4474: 4472: 4469: 4468: 4466: 4464: 4460: 4457: 4455: 4451: 4448: 4444: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4414: 4413:Reye syndrome 4411: 4409: 4406: 4405: 4403: 4399: 4393: 4390: 4388: 4385: 4381: 4378: 4376: 4373: 4371: 4368: 4366: 4365:Hydrocephalus 4363: 4362: 4361: 4358: 4357: 4355: 4353: 4349: 4337: 4333: 4332: 4331: 4328: 4327: 4325: 4321: 4315: 4311: 4309: 4306: 4304: 4301: 4300: 4298: 4296: 4292: 4286: 4282: 4280: 4277: 4275: 4272: 4270: 4267: 4266: 4264: 4262: 4258: 4252: 4248: 4246: 4243: 4241: 4238: 4236: 4233: 4232: 4230: 4228: 4224: 4220: 4217: 4215: 4209: 4203: 4199: 4197: 4194: 4192: 4189: 4187: 4184: 4183: 4181: 4179: 4178:Demyelinating 4175: 4165: 4162: 4161: 4159: 4157: 4153: 4147: 4144: 4143: 4142: 4141: 4135: 4132: 4130: 4127: 4123: 4120: 4119: 4118: 4114: 4111: 4107: 4104: 4100: 4097: 4096: 4095: 4092: 4091: 4090: 4087: 4086: 4084: 4082: 4078: 4072: 4069: 4067: 4066:Restless legs 4064: 4060: 4057: 4055: 4052: 4051: 4050: 4047: 4046: 4041: 4038: 4034: 4031: 4030: 4029: 4026: 4022: 4019: 4018: 4017: 4014: 4012: 4009: 4005: 4004:Blepharospasm 4002: 4000: 3997: 3995: 3992: 3990: 3987: 3986: 3985: 3982: 3981: 3980: 3977: 3976: 3971: 3968: 3966: 3963: 3961: 3960:Hemiballismus 3958: 3956: 3953: 3949: 3946: 3945: 3944: 3941: 3937: 3934: 3933: 3932: 3929: 3925: 3922: 3920: 3917: 3915: 3912: 3911: 3910: 3907: 3906: 3905: 3902: 3901: 3899: 3897: 3892: 3888: 3885: 3883: 3879: 3876: 3874: 3869: 3865: 3855: 3852: 3850: 3847: 3843: 3840: 3839: 3838: 3835: 3834: 3832: 3830: 3825: 3817: 3814: 3813: 3812: 3811:Brain abscess 3809: 3807: 3804: 3800: 3797: 3795: 3792: 3790: 3787: 3785: 3782: 3781: 3780: 3777: 3776: 3774: 3772: 3768: 3765: 3763: 3759: 3755: 3751: 3743: 3738: 3736: 3731: 3729: 3724: 3723: 3720: 3707: 3703: 3702: 3698: 3696: 3692: 3691: 3687: 3685: 3681: 3680: 3676: 3674: 3670: 3669: 3665: 3664: 3661: 3657: 3650: 3646: 3645: 3641: 3639: 3635: 3634: 3630: 3628: 3624: 3623: 3619: 3617: 3613: 3612: 3608: 3604: 3602: 3598: 3597: 3593: 3589: 3588: 3585: 3580: 3576: 3565: 3561: 3554: 3551: 3546: 3542: 3535: 3532: 3521: 3517: 3510: 3507: 3503: 3498: 3495: 3490: 3489:"What is PSP" 3484: 3481: 3477: 3472: 3469: 3465: 3460: 3457: 3453: 3448: 3445: 3440: 3436: 3429: 3426: 3421: 3417: 3413: 3409: 3406:(4): 333–59. 3405: 3401: 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2734: 2727: 2724: 2713: 2709: 2703: 2700: 2689:on 2016-09-09 2685: 2681: 2674: 2668: 2665: 2654: 2650: 2644: 2641: 2630:on 2016-12-14 2629: 2625: 2621: 2615: 2612: 2607: 2603: 2598: 2593: 2589: 2585: 2581: 2577: 2573: 2566: 2563: 2558: 2554: 2549: 2544: 2540: 2536: 2532: 2525: 2522: 2517: 2513: 2508: 2503: 2499: 2495: 2491: 2484: 2482: 2478: 2473: 2469: 2464: 2459: 2455: 2451: 2448:(7): 709–35. 2447: 2443: 2439: 2432: 2429: 2424: 2420: 2413: 2410: 2405: 2401: 2396: 2391: 2387: 2383: 2380:(4): 468–73. 2379: 2375: 2371: 2364: 2361: 2356: 2352: 2348: 2342: 2338: 2334: 2330: 2323: 2320: 2315: 2311: 2306: 2301: 2297: 2293: 2289: 2282: 2279: 2266: 2260: 2257: 2252: 2248: 2244: 2240: 2236: 2232: 2225: 2222: 2217: 2213: 2209: 2205: 2201: 2197: 2190: 2187: 2182: 2178: 2173: 2168: 2164: 2160: 2156: 2149: 2146: 2141: 2137: 2132: 2127: 2123: 2119: 2115: 2111: 2107: 2100: 2097: 2092: 2088: 2083: 2078: 2074: 2070: 2066: 2062: 2058: 2051: 2048: 2043: 2039: 2035: 2031: 2027: 2023: 2020:(3): 222–30. 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Tufts of 483:tau protein 475:glial cells 445:acetogenins 391:called the 366:convergence 308:contracture 236:tau protein 111:60–70 years 108:Usual onset 40:Other names 4652:Categories 4214:paroxysmal 4186:Autoimmune 3979:Dyskinesia 3849:Meningitis 3827:Brain and 3690:Patient UK 3644:DiseasesDB 3525:2020-05-04 3085:2023-07-11 2717:2017-01-08 2693:2017-01-08 2658:2017-01-08 2634:2017-01-08 2417:Elble RJ. 1357:2022-03-18 1227:19 January 1020:(2): 133. 995:References 881:(CBD) and 798:dysarthria 755:Amantadine 751:Dyskinesia 732:Management 720:astrocytes 638:Annonaceae 570:cerebellum 495:astrocytes 454:Annonaceae 449:quinolines 306:function, 244:amantadine 166:amantadine 157:Medication 4678:Syndromes 4211:Episodic/ 4089:Tauopathy 4040:Akathisia 4028:Myoclonus 4011:Athetosis 3943:Tauopathy 3684:neuro/328 3679:eMedicine 2845:140525754 2653:Orpha.net 2355:799764189 1711:Neurology 1319:932031625 1168:Continuum 989:Annonacin 951:in 2014. 850:Pneumonia 839:Prognosis 829:dysphagia 771:dysphagia 737:Treatment 601:Diagnosis 534:brainstem 459:rotenoids 433:tauopathy 426:haplotype 404:rs1800547 396:haplotype 362:nystagmus 182:Frequency 173:Prognosis 148:Treatment 81:Neurology 76:Specialty 4577:SMALED2B 4572:SMALED2A 4269:Migraine 4261:Headache 4227:epilepsy 4223:Seizures 4081:Dementia 3984:Dystonia 3701:Orphanet 3420:14107684 3385:14272249 3379:: 25–9. 3355:41907329 3347:15022178 3257:26270456 3217:PLOS ONE 3184:36973020 3176:11581524 3136:30537997 3128:16569380 3062:24860459 3011:16737412 2965:21243256 2924:18221242 2889:33349776 2881:20129321 2837:19731749 2802:21243256 2753:19233037 2680:Acnr.org 2606:11870198 2557:15788542 2516:18385183 2472:19535999 2404:16543524 2251:23916652 2216:20610990 2181:11912113 2140:26828211 2091:22987902 2042:25562683 2034:16771179 1998:15132848 1919:25741692 1911:12732936 1875:20275104 1867:12802605 1831:21017979 1823:15178937 1788:24637124 1739:20622672 1696:30363831 1647:19235444 1606:16691119 1524:10711305 1516:10517507 1440:11912113 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759:Botox 633:PSP-C 616:Types 383:Cause 343:palsy 251:Males 204:brain 4225:and 3936:PKAN 3931:NBIA 3633:MeSH 3622:OMIM 3611:9-CM 3476:PSPA 3416:PMID 3381:PMID 3343:PMID 3302:PMID 3253:PMID 3172:PMID 3124:PMID 3058:PMID 3007:PMID 2961:PMID 2920:PMID 2877:PMID 2833:PMID 2798:PMID 2749:PMID 2602:PMID 2553:PMID 2512:PMID 2468:PMID 2400:PMID 2351:OCLC 2341:ISBN 2310:PMID 2273:2019 2247:PMID 2212:PMID 2177:PMID 2136:PMID 2087:PMID 2065:2012 2030:PMID 1994:PMID 1951:PMID 1907:PMID 1863:PMID 1819:PMID 1784:PMID 1727:PMID 1692:PMID 1643:PMID 1602:PMID 1561:PMID 1512:PMID 1463:PMID 1436:PMID 1395:PMID 1315:OCLC 1305:ISBN 1279:PMID 1229:2021 1194:PMID 1140:ISBN 1096:PMID 1042:PMID 802:gait 765:and 743:cure 610:pons 473:and 447:and 242:and 230:and 4539:SMA 4522:LMN 4495:UMN 4486:MND 4352:CSF 4303:TIA 3948:PSP 3924:NMS 3893:and 3754:CNS 3706:683 3607:ICD 3592:ICD 3408:doi 3333:doi 3292:PMC 3284:doi 3243:PMC 3233:doi 3164:doi 3116:doi 3048:PMC 3038:doi 2997:doi 2951:doi 2912:doi 2869:doi 2825:doi 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Index

Supranuclear palsy

CT
MRI
midbrain
Specialty
Neurology
Symptoms
slowed movements
difficulty moving eyes
dementia
Differential diagnosis
Parkinson's disease
corticobasal degeneration
FTDP-17
Alzheimer's disease
Medication
Levodopa
amantadine
Prognosis
neurodegenerative disease
brain
loss of balance
slowing of movement
difficulty moving the eyes
cognitive impairment
Parkinson's disease
frontotemporal dementia
Alzheimer's disease
tau protein

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