Doctor insights on:
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 moreSee 2 more doctor answers
...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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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
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
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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
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
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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