Progressive supranuclear palsy, a case report

A. Ortiz , F. Troya , J. de Vera , E. Vázquez
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Abstract

Progressive Supranuclear Palsy (PSP), also known as Steele-Richardson-Olszewski syndrome, is a rare neurodegenerative disease characterized by a variety of motor and neuro-ophthalmological symptoms. We present the case of a 73-year-old male patient with a history of type 2 diabetes and high blood pressure, who consulted for gait disorders, tremors in the extremities, and difficulty controlling conjugate gaze. During physical examination, findings consistent with PSP were noted, including hypomimia, muscle rigidity, and abnormal movements. The initial misdiagnosis of Parkinson's disease and subsequent administration of levodopa highlight the importance of accurate diagnosis in complex neurological conditions. This clinical case highlights the need for a thorough evaluation of neuro-ophthalmological symptoms and signs to ensure an appropriate therapeutic approach and improve the quality of life of patients.

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进行性核上性麻痹,病例报告。
进行性核上性麻痹(PSP)又称 Steele-Richardson-Olszewski 综合征,是一种罕见的神经退行性疾病,以各种运动和神经眼科症状为特征。我们介绍了一例 73 岁的男性患者,他有 2 型糖尿病和高血压病史,因步态障碍、四肢震颤和难以控制共轭凝视而就诊。在体格检查中,发现了与帕金森病一致的结果,包括肌张力低下、肌肉僵硬和运动异常。患者最初被误诊为帕金森病,随后服用了左旋多巴,这凸显了准确诊断复杂神经系统疾病的重要性。该临床病例强调了对神经眼科症状和体征进行全面评估的必要性,以确保采取适当的治疗方法,提高患者的生活质量。
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