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Doctor insights on: What Exactly Is Supranuclear Palsy Swallowing Therapy

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What exactly is supranuclear palsy swallowing therapy?

What exactly is supranuclear palsy swallowing therapy?

Speech therapy task: 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. ...Read more

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Palsy (Definition)

...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


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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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How do you exactly prevent progressive supranuclear palsy?

How do you exactly prevent progressive supranuclear palsy?

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 more

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I was diagnosed with supranuclear palsy 5 years ago. Are there any treatments that can help?

No effective therapy: ...Has been proven. Look at this article - http://emedicine.Medscape.Com/article/1151430-treatment i assume there has been a thorough neurologic work-up and trial of a Dopamine agonist. There are some treatments in this article to consider with some benefit by case report. ...Read more

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What are some alternative treatments for progressive supranuclear palsy (psp) like ayurveda, homeopathy or siddha?

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

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What is the definition or description of: Supranuclear palsy?

What is the definition or description of: Supranuclear palsy?

Above nuclei: This refers to damage of nervous system structures above the nuclei of affected areas of palsy; typically, this involves those cranial nerves controlling ophthalmic muscles in Progressive Supranuclear Palsy, a neurodegenerative disorder. ...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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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 is the prognosis for progressive supranuclear palsy?

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 complications of progressive supranuclear palsy?

Falls: Usually starts with falls swallowing difficulties are also seen. ...Read more

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What is the difference between progressive supranuclear palsy (psp) and Parkinson's disease?

What is the difference between progressive supranuclear palsy (psp) and Parkinson's disease?

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 more

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Can progressive supranuclear palsy be cured if we block the excessive impulses of the brain?

Good thots, but: At this time, there is NO cure for progressive supra nuclear palsy (AKA, Steele, Richardson, Olezewski Syndrome). It seems a variant of Parkinson's but does not respond to the usual Parkinson's meds. Much ongoing research may provide breakthroughs, and if you have it or know someone who does, find a nearby Movement Disorder Specialist who has research. ...Read more

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What are the tests for 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 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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How can you treat progressive supranuclear palsy?

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 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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Is it possible that progressive supranuclear palsy occur in children or teenagers?

Is it possible that progressive supranuclear palsy occur in children or teenagers?

Supranuclear palsy: While anything is possible this type of palsy is extremely uncommon in both children and teenagers - it is a disease more common seen in the older adult, . ...Read more

Dr. Justin ORourke
29 doctors shared insights

Supranuclear Palsy (Definition)

This refers to damage of nervous system structures above the nuclei of affected areas of palsy; typically, this involves those cranial nerves controlling ophthalmic muscles in Progressive Supranuclear ...Read more


Dr. William Singer
1,050 doctors shared insights

Paralysis (Definition)

A paralyzed limb cannot be voluntarily moved, and the term reflects leg involvement, paraplegia, full body, quadriplegia, and less than full, tetraplegia. Causes can be many, including stroke, trauma, ...Read more