Progressive supranuclear palsy (PSP) is a movement disorder that shares similar symptoms with Parkinson’s disease (PD). The movement centers of the brain are affected. The progression varies for each person but generally progresses more rapidly than PD. PSP is sometimes referred to as an atypical Parkinsons or parkinsonism.
Symptoms
Some characteristic symptoms that differ from PD are falling and swallowing problems early in the disease. The doctor may note problems with the person’s ability to look down. Mood and thinking related problems can also occur such as depression, anxiety and dementia.
Cause
The cause is unknown and can occur in middle and late age in both men and women.
Treatment
Medical treatment is limited for PSP and patient comfort is a priority. Treatment focuses on safety, monitoring for complications of the disease and optimization of mood and thinking related problems. Recognition of early swallowing problems and fall risk leads to referrals to rehabilitation specialists who provide practical interventions to improve quality of life. Rehabilitation specialists also provide guidance and therapy for coping with the changes that interfere with daily routines. Pneumonia from swallowing problems and traumatic falls are common causes of loss of life. Speech and swallowing specialists help with communication and treatment of swallowing problems. Physical therapy focuses on strength, walking, flexibility and safety. Occupational therapy focuses on home safety, optimizing function with adaptive devices. Social work consultation can be a significant resource for care partners.
For More Information
Society for PSP
11350 McCormick Road
Exec Plaza III, Suite 906
Hunt Valley, MD 21031
Tel: 410.785.7004