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Doctor insights on: Primary Progressive Aphasia Treatment

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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

Dr. Steven Beer
84 doctors shared insights

Loss Of Speech (Definition)

Mutism = inability to speak. Aphasia = loss of ...Read more


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Treatment for progressive gait imbalace and progressive dysarthria slurred speech?

Treatment for progressive gait imbalace and progressive dysarthria slurred speech?

Uncover cause: Likely best to see a neurologist. There are multiple problems which can cause this, and treatment follows diagnosis. ...Read more

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What is primary progressive ms?

What is primary progressive ms?

A subtype of MS: This subtype represents about 10-15% of all ms, tends to occur at an older median adult age. It is characterized by progressive worsening neurological disability for at least 1 year, without relapses, and with MRI findings compatible with demyelinating disease of the central nervous system. Other medical and neurological conditions which may mimic this clinical course must be carefully excluded. ...Read more

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What is the proper treatment for progressive supranuclear palsy?

What is the proper treatment for progressive supranuclear palsy?

The right doctor: 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. ...Read more

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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 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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Any treatment for heriditary spastic paraparesis? Accompanied by sensory neuropathy?

Any treatment for heriditary spastic  paraparesis? Accompanied by sensory neuropathy?

Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more

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How is progressive supranuclear palsy (psp) diagnosed?

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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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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Would hyperbaric treatment help someone with cerebral palsy?

Would hyperbaric treatment help someone with cerebral palsy?

No: The injury that leads to CP has occurred & distroyed nerve pathways long before the symptoms become evident. Extra oxygen pushed by a hyperbaric chamber will not alter the process. ...Read more

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Treatment for upper motor neuron sympathy for my diagnose of primary lateral sclerosis ?

Treatment for upper motor neuron sympathy  for my diagnose of primary lateral  sclerosis ?

Try this: Although no cure currently, the drug Riluzole has been used to slow down the process and prevent or delay tracheostomy. Some pts might benefit from other glutamate blockers, Gabapentin and memantine have been tried in addition. Some alternative health sites have mentioned anti-oxidant approaches, and you might check hsi (health science institute). Get second opinion at nearby medical schools. ...Read more

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I'm 58 recently diagnosed w/glaucoma & beginnings of peripheral vision loss. Please explain what aggressive treatment would mean for me?

I'm 58 recently diagnosed w/glaucoma & beginnings of peripheral vision loss. Please explain what aggressive treatment would mean for me?

Treatment: Of glaucoma is individualized. For each, a target pressure is set depending on the untreated pressure (usually 30% lower). Then the ophthalmologist adds treatment until this is reached. More aggressive treatment means setting a lower goal and closer follow up. ...Read more

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What is prognosis for multifocal motor neuropathy?

What is prognosis for multifocal motor neuropathy?

See below: Patients usually start to see improvement within 3 to 6 weeks of starting treatment. Over the long hall it is a somewhat progressive disorder. ...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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What is secondary progressive ms

What is secondary progressive ms

See below: Secondary progressive MS is a more advanced stage of relapsing remitting ms. In this stage, individuals experience fewer recognized neurological relapses, and betwen such attacks begin to accumulate measureable worsening of physical or cognitive disability. It is not a distinct form of disease, but part of the spectrum of relapsing ms. ...Read more

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What kinds of conditions can a speech-language pathologist (SLP) treat?

What kinds of conditions can a speech-language pathologist (SLP) treat?

See below: Please consult this site for information on this topic. http://www.bls.gov/ooh/Healthcare/Speech-language-pathologists.htm ...Read more

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Can you please describe intensive multidisciplinary biopsychosocial rehabilitation?

Can you please describe intensive multidisciplinary biopsychosocial rehabilitation?

Treat Whole person : This type of rehabilitation uses a team to help a person get back on their feet, functioning in life. It is headed by a physician to diagnose and treat medical issues, but includes others to help decrease barriers to treatments. Among others, this can include physical/occupational therapy, biofeedback, exercise, psychology, social work, etc. ...Read more

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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 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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What are the options for long-term maintenance therapy to prevent primary CNS lymphoma recurrence?

What are the options for long-term maintenance therapy to prevent primary CNS lymphoma recurrence?

Check out these: Links. Take care and god bless u! http://www.uptodate.com/contents/treatment-prognosis-and-prophylaxis-of-secondary-central-nervous-system-lymphoma. http://m.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/herbsvitaminsandminerals/index?sitearea=eto. ...Read more

Dr. Eric Weisman
233 doctors shared insights

Loss Of Speech (Definition)

Mutism = inability to speak. Aphasia = loss of ...Read more


Dr. Steven Beer
53 doctors shared insights

Speech Deficits (Definition)

Speech deficits = ...Read more