para supranuclear palsy

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Dr. Djamchid Lotfi answered:

What are the tests for supranuclear palsy?

Brain studies

Paralysis
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
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What exactly is supranuclear palsy swallowing therapy?

Speech therapy task

Paralysis
Persons with neurologocal disorders of swallowing may benefit from assessment and treatment by a speech therapist whois trained in swallowing disorder therapy. This would include persons with a condition like 'progressive' supranuclear palsy.
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What are the treatments for progressive supranuclear palsy?

Good Rx available!!

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Dopamine meds for physical Parkinsonism: Azilect (MAO-B selective inhibitor) & Sinemet +/- Comtan (Stalevo 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
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Dr. Djamchid Lotfi answered:

How is progressive supranuclear palsy (PSP) diagnosed?

Cannot look up

Progressive_supranuclear_palsy
Similar to but worse prognosis than Parkinson's disease sharing the rigidity and poverty of movements, Inability to look up with head kept straight
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Are there alternative names of progressive supranuclear palsy?

YES

Paralysis
The previous name for PSP was Steele-Richardson-Olszewski syndrome.
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Dr. Ian Stein answered:

What are the complications of progressive supranuclear palsy?

Falls

Progressive_supranuclear_palsy
Usually starts with falls swallowing difficulties are also seen.
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what is the prognosis for progressive supranuclear palsy?

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.
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What is the proper treatment for progressive supranuclear palsy?

The right doctor

Supranuclear_palsy
I believe it is important to be seen by a movement disorders neurologist for this neurodegenerative disease. This is a very difficult disease to treat. A patient may need very high doses of levodopa. Oftentimes issues such as feeding tubes are at the fore. A specialist will have more experience dealing with this rare disease and may have other options (i.e. clinical trials) available.
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What are the tests for progressive supranuclear palsy?

Good History & exam!

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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!
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What are the common symptoms of supranuclear palsy?

Gaze palsy

Paralysis
meaning, one cant look to the right or left
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