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Doctor insights on: How Can You Treat Progressive Supranuclear Palsy

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How can you treat progressive supranuclear palsy?

How can you treat progressive supranuclear palsy?

Good Rx Available!!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

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Palsy (Definition)

...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more


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How do you exactly prevent progressive supranuclear palsy?

How do you exactly prevent progressive supranuclear palsy?

You cannot: Psp is progressive supranuclear palsy in the group of parkinsonism plus=no response to treatment with Dopamine it is thought to be genetic and cause degeneration and changes in the neurotransmiters in basal ganglia and other locations in brain--less understood compare to parkinson disease. ...Read more

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What can cause progressive supranuclear palsy?

What can cause progressive supranuclear palsy?

Tau protein D/O: No, tau protein deposits & neurofibrillary tangles in neurons cause the death of these cells. Because they are in some similar areas as parkinson's disease, psp can appear similar clinically, but there are clear differences. Treatment approaches are roughly the same with different areas needing most attention. Primarily balance/falls/injury, did inhibiting dementia & dysphagia/aspiration. ...Read more

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Can you tell me about progressive supranuclear palsy getting cured/ better?

Can you tell me about progressive supranuclear palsy getting cured/ better?

Read on: PSP ( Steel Richardson Syndrome) is a progressive degenerative condition in the involuntary movement disorder genre. See a neurologist specialist in this type of illness. There is no cure (as in most conditions!) and the treatment not ideal Your doctor will tell you how to cope with it and will give palliative treatment ...Read more

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Does anyone know if cerebral palsy and spasticity can be treated?

Does anyone know if cerebral palsy and spasticity can be treated?

Lessened not fixed: The injury producing CP is like having your spinal cord cut, only higher up and preserving some working nerves. The nerves that are destroyed are never repaired or regrown.Physical therapy and occupational therapy can often help minimize impairment if started young.Botox injections & surgery can sometimes help reduce problems with specific muscle groups.However, there is no "fix" for CP. ...Read more

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Can you please suggest treatment for progressive supranuclear palsy ( psp)?

Can you please suggest treatment for progressive supranuclear palsy ( psp)?

Multidisciplinary: While there is no single effective medication to stop the progression of psp; some short term modest benefit has been shown with bromocriptine for the rigidity, Botox for dystonia and sialorrhea, methylcellulose for dry eyes, and cognitive stimulation/physical exercise for cognitive function and gait and balance training. ...Read more

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What can someone with cerebral palsy do to exercise?

What can someone with cerebral palsy do to exercise?

Many do: Exercise is recommended for those within the bounds of any physical impairment they have. Most of those who have CP have milder forms & can keep up with the rest of us in many activities. ...Read more

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Is possible for progressive supranuclear palsy to be cured / get better?

Is possible for progressive supranuclear palsy to be cured / get better?

Good Rx, but no cure: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

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How to treat bells palsy synkinesis?

How to treat bells palsy synkinesis?

Bells palsy: Best to seek consultation with a neurologist. Depending on the cause, you may receive benefit from oral medication or pin point nerve blocking agents. ...Read more

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How do you treat optic neuritis cases?

How do you treat optic neuritis cases?

Optic neuritis: Anyone with optic neuritis should be under the care of an opthalmologist if possible. ...Read more

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How is progressive supranuclear palsy (psp) diagnosed?

Cannot look up: Similar to but worse prognosis than parkinson's disease sharing the rigidity and poverty of movements, inability to look up with head kept straight. ...Read more

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How to treat vegetative-vascular dystonia?

How to treat vegetative-vascular dystonia?

Hot/cold showers: This diagnosis is popular in the eastern europe; in the us it is called vaso-vagal dysfunction (or syncope). Regular aerobic exercise, good hydration, regular meals, and enough sleep can help. A treatment popular in the eastern europe involves taking a hot shower and at the end making the water cold for 2 minutes. This does condition your blood vessels, although there are no controlled studies. ...Read more

Amanda Xi Dr. Xi
7 doctors agreed:
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How can I treat bell's palsy?

Amanda Xi Dr. Xi
7 doctors agreed:
How can I treat bell's palsy?

Couple of ways: Treatments for bell's palsy include ensuring protection for your eyes [make sure that they are kept moist and protected]. Sometimes physicians will prescribe steroids [to reduce possible swelling] or antivirals [if it is suspected that the bell's palsy was triggered by a virus]. If you suspect that you have bell's palsy, see your doctor to determine the right course of treatment. ...Read more

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How to know if partial stroke or bells palsy?

How to know if partial stroke or bells palsy?

Why r u asking?: Are you trying to figure this out yourself? I could explain it, but without background knowledge you probably still wouldn't understand it. If this is an academic question, some searching on the web should turn up an adequate explanation. If this is about you or someone you know, you really should let a neurologist diagnose and then explain how he could tell. Much more informative that way. ...Read more

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How can I treat mild cerebral palsey and autism?

How can I treat mild cerebral palsey and autism?

Depends on age : Treatment of autism spectrum disorders can change emphasis at different ages, pt and ot may be helpful for CP and depending on the features and severity of autism psychological treatments, psychiatric medications, speech and language therapy, social skills therapy etc. Focus may depend on what r the most disabiliting symptoms in terms of setting priorities. Start with good assessment. ...Read more

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Help plz! Can progressive supranuclear palsy occur in children or teenagers?

Very unlikely: From the Mayo clinic, progressive supranuclear palsy "typically affects people around the age of 60, and is virtually unknown in people under the age of 40." http://www.mayoclinic.org/diseases-conditions/progressive-supranuclear-palsy/basics/definition/CON-20029502?p=1 ...Read more

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How to treat diplopia associated with brain injury?

How to treat diplopia associated with brain injury?

Depends: Diplopia (seeing double) can be caused by damage to one of the nerves moving the eyes (cranial 3, 4 or 6) which can be improved after 6 months time to heal by surgery. Or it can be due to destabilization of the coordination center in the brain stem which can usually be improved with prism glasses. This should be evaluated by a neuro-ophthalmologist. ...Read more

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Can herbs help treat cerebral palsy?

Can herbs help treat cerebral palsy?

Not specifically: Herbs can provide nutrients to all of us as part of balanced nutrition.They do not change the perminant brain injury that is the basis for cerebral palsy.Proper assessment and treatment by a team of physical and occupational therapists is the standard of care for cp.Additional support for medical needs and balanced nutrition provide the best chance of optimal function. ...Read more

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Exercises someone with cerebral palsy can do without pt?

Many: This is a tough question to answer without more information. Depending on the type and severity of cerebral palsy there are many exercises that can be safely engaged in such as swimming, horeseback riding and adaptive sports. But all should be done under the supervision and guidance of a doctor. Physical and occupational therapists can put together an exercise program for you. ...Read more

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How can you treat progressive supranuclear palsy?

Good Rx Available!!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

See 2 more doctor answers
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What can cause progressive supranuclear palsy?

Tau protein D/O: No, tau protein deposits & neurofibrillary tangles in neurons cause the death of these cells. Because they are in some similar areas as parkinson's disease, psp can appear similar clinically, but there are clear differences. Treatment approaches are roughly the same with different areas needing most attention. Primarily balance/falls/injury, did inhibiting dementia & dysphagia/aspiration. ...Read more

See 1 more doctor answer
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How is progressive supranuclear palsy (psp) diagnosed?

Cannot look up: Similar to but worse prognosis than parkinson's disease sharing the rigidity and poverty of movements, inability to look up with head kept straight. ...Read more

See 2 more doctor answers
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What are the tests for progressive supranuclear palsy?

What are the tests for progressive supranuclear palsy?

Good History & exam!: Good history & exam are the keys. In expert hands, that is all you really need. However, a new test/imaging procedure called datscan can determine if the person is suffering from a true Dopamine degenerative state (parkinsonian sundrome) or not, it cannot destinguish b/w these parkinsonian syndromes, however! ...Read more

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What is the prognosis for progressive supranuclear palsy?

What is the prognosis for progressive supranuclear palsy?

Supranuclear palsy: Unfortunately, no known treatment other than supportive care for supranuclear palsy exists. The average person is in their 60's when diagnosed. Life expectancy averages 7 years after diagnosis. ...Read more

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What are the complications of progressive supranuclear palsy?

Falls: Usually starts with falls swallowing difficulties are also seen. ...Read more

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What are the symptoms that characterize progressive supranuclear palsy?

What are the symptoms that characterize progressive supranuclear palsy?

Brain studies: This is a term reserved for conditions that affect the connection between nuclei controlling the eye movements with the centers in the brain usually in the frontal lobes. Inability to look up is a common finding. ...Read more

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Is possible for progressive supranuclear palsy to be cured / get better?

Good Rx, but no cure: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

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What is the definition or description of: Progressive supranuclear palsy?

PSP: This is a condition that is similar to Parkinson's disease but the rigidity is more through the trunk than in the limbs, and people have difficulty moving their eyes. It is also more aggressive than Parkinson's disease with rare benefit with medications and rapid progression. ...Read more

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Can you tell me about progressive supranuclear palsy getting cured/ better?

Read on: PSP ( Steel Richardson Syndrome) is a progressive degenerative condition in the involuntary movement disorder genre. See a neurologist specialist in this type of illness. There is no cure (as in most conditions!) and the treatment not ideal Your doctor will tell you how to cope with it and will give palliative treatment ...Read more

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Help plz! Can progressive supranuclear palsy occur in children or teenagers?

Very unlikely: From the Mayo clinic, progressive supranuclear palsy "typically affects people around the age of 60, and is virtually unknown in people under the age of 40." http://www.mayoclinic.org/diseases-conditions/progressive-supranuclear-palsy/basics/definition/CON-20029502?p=1 ...Read more

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Is it possible that progressive supranuclear palsy occur in children or teenagers?

Is it possible that progressive supranuclear palsy occur in children or teenagers?

Supranuclear palsy: While anything is possible this type of palsy is extremely uncommon in both children and teenagers - it is a disease more common seen in the older adult, . ...Read more

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What are the treatments for progressive supranuclear palsy?

What are the treatments for progressive supranuclear palsy?

Good Rx available!!: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile. ...Read more

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Is progressive supranuclear palsy a demyelinating disease?

PSP: Progressive supranuclear palsy: the disorder's long name indicates that the disease begins slowly and continues to get worse (progressive), and causes weakness (palsy) by damaging certain parts of the brain above pea-sized structures called nuclei that control eye movements (supranuclear). It is central; demyelinating conditions occur in the peripheral nervous system. ...Read more

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How do you exactly prevent progressive supranuclear palsy?

You cannot: Psp is progressive supranuclear palsy in the group of parkinsonism plus=no response to treatment with Dopamine it is thought to be genetic and cause degeneration and changes in the neurotransmiters in basal ganglia and other locations in brain--less understood compare to parkinson disease. ...Read more

See 1 more doctor answer
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Could anesthesia cause progressive supranuclear palsy (psp)?

Could anesthesia cause progressive supranuclear palsy (psp)?

Not likely: No one knows for sure what causes it. It is a degenerative neurologic disease a little similar to Parkinson's disease in a comparable area of the brain. The cause may be genetic, viral, though no one really knows. It is very very rare. ...Read more

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Is it possible for anesthesia cause progressive supranuclear palsy (psp)?

Unlikely: Though anesthetics do have an effect on the brain, it is unlikely that they would cause this problem. The anesthetics that we use can decrease blood flow to certain areas of the brain, so they might unmask a pre-existing psp, but again that is speculation. I would talk to your neurologist about this problem. ...Read more

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I was diagnosed with progressive supranuclear palsy 5 years ago. Are there any good clinical trials available for psp?

Try this: Psp is frustrating and unfortnately progressive. Also, there just aren't many doctors with a ton of experience with this "rare" condition. See: http://www.Pspinformation.Com/ you may be able to find what you are looking for, or at least get connected to a support network. ...Read more

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Dr. Robert Hutchman
37 doctors shared insights

Progressive Supranuclear Palsy (Definition)

This is a condition that is similar to Parkinson's disease but the rigidity is more through the trunk than in the limbs, and people have difficulty moving their eyes. It is also more aggressive than Parkinson's disease with rare benefit with ...Read more


Dr. Justin ORourke
30 doctors shared insights

Supranuclear Palsy (Definition)

This refers to damage of nervous system structures above the nuclei of affected areas of palsy; typically, this involves those cranial nerves controlling ophthalmic muscles in Progressive Supranuclear ...Read more