PARKINSONS PLUS SYNDROMES : PSP

Posted: May 5, 2013 in Uncategorized

MEDICOTIMES - PGMEE

Parkinsons plus syndromes have features of parkinsonism but they differ from parkinsons disease in having some additional features and they r unresponsive to treatments directed against parkinsons disease.

NOW LETS SEE HOW THEY COME TO NOTICE :

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EXAMPLES of PARKINSONS PLUS SYNDROMES  r ;

1] Multiple system atrophy

2] Progressive supranuclear palsy

3] Parkinsonism-dementia-amyotrophic lateral sclerosis comple

4] Corticobasal ganglionic degeneration

5] Diffuse lewy body disease

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PROGRESSIVE SUPRANUCLEAR PALSY

It is a tauopathy due to deposition of tau doublet 64 ,69.

CLINICAL FINDINGS:

1. Tremor is rare.

2. Supra nuclear vertical gaze palsy : supra nuclear nature of palsy can be checked by presence of vestibulo-ocular reflex which can be clinically assesed by vertical dolls eye maneuvers . There will be slowing of verical saccades.

3. presence of  square wave jerks ( Square-Wave Jerks (SWJ) are inappropriate saccades that take the eye off the target, followed by a nearly normal…

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  1. […] Parkinsons Plus Syndromes : Psp (manunobserved.wordpress.com) […]

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