Doctor insights on:
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 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
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
Several: The original kaiser studies suggested that steroid therapies might work well, and later studies suggested some benefit with thiamine. Since there is evidence that both herpes simplex and zoster may cause variations of bell's palsy, anti-virals may be used. However, even if not treated 92.5% of cases fully recover on their own after several weeks. ...Read more
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 moreSee 1 more doctor answer
Steroids first: If pain is present, steroids should be given promptly. Since many cases are thought due to herpesvirus, the combination of steroids and an antiviral, such as zovirax, (acyclovir) is often used. Of course that doesn't always work. Corneal protection (eye patches & drops) should be used if eye closure is incomplete. Facial massage to affected areas preserves muscle flexibility until nerve healing occurs. ...Read moreSee 1 more doctor answer
Many: Treatment for pd can be divided into pharmacologic (medications), nonpharmacologic, and surgical therapy. Pharmacologic involves neuroprotective or symptomatic therapy. The main drugs used include levodopa, mao-b inhibitors, Dopamine agonists. Most of the available treatments used in practice are designed to manage symptoms and do not appear to slow or reverse the natural course of the disease. ...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
Acute stroke Rx: There are many treatments for acute stroke, including: 1. blood pressure management, when needed 2. blood sugar mgmt when needed 3. IV TPA- tissue plasminogen activator, for many cases 4. aspirin 5. arterial TPA, (alteplase) in select cases 6. thrombosis retrieval, in very select cases 7. later on, cholesterol treatment, anticoagulation for atrial fib, and artery repair may be options ...Read moreSee 1 more doctor answer
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
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
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