Doctor insights on:
Names Progressive Palsy
...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
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 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
Upper motor neuron: Pseudobulbar palsy is a disorder of nerves located near the base of the brain, that connect the higher brain centers with the lower spinal cord. Most commonly affects chewing, swallowing, speech, emotional outbursts sometimes. It has multiple causes and the underlying disease will determine how progressive it is; examples are parkinson's, als, certain strokes, ms, brain trauma. ...Read more
What are some alternate treaments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?
PSP: With any of these other forms of medicine, you would need very skilled, experienced professionals to work with you alongside your conventional neurologist. Many conventional physicians are becoming trained in ayurveda and homeopathy -- i'm sorry, but i know little about siddha although this one originated in india like ayurveda. For homeopathic physicians, you can see: http://tinyurl.Com/lgsovco. ...Read more
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
Parkinson's Disease: Progressive supracuclear palsy is a severe form of parkinsonism. It is characterized by no or minimal response to levodopa, prominent subcortical cognitive impairment, severe balance disorder, axial dystonias, and the classical inability to voluntarily move eyes in vertical plane. In contrast, idiopathic parkinson's disease commonly has better response to levodopa, resting tremors, slower decline. ...Read moreSee 2 more doctor answers
Full recovery usual: Acute dysfunction of the facial nerve can occur in newborns and in infants. Some are the result of trauma to the facial nerve from forceps, some due to virus infections, some due to ear infections, others without definite cause. The outcome is usually excellent with full recovery. Some infant are born with defective facial nerves (moebius syndrome) that is permanent. ...Read more
None specific: Individuals with cerebral palsy may exhibit any number of learning disabilities due to the brain injury that caused the motor handicap. However, there is no specific LD. The effects of brain injury are individual. A child with CP should have a formal neuropsychological assessment when they are old enough to be tested. ...Read moreSee 2 more doctor answers
What are some alternative treatments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?
Collaborative care: Psp is a rare degenerative disease of the brain involving movement & balance as well as changes in mood, behavior and personality. Conventional medicine has no cure. Homeopathy does not treat the specific pathological condition, but can help the person by applying the single homeopathic medicine called for by his/her specific experience. You need a very well-trained homeopath to work with you. ...Read more
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
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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