Progressive supranuclear palsy

Czech version

Authors: T. Bartošová ¹; J. Klempíř- ^{1 3}
Authors‘ workplace: Neurologická klinika a Centrum klinických neurověd, 1. LF UK a VFN v Praze ¹; Anatomický ústav, 1. LF UK v Praze ²; Evropská referenční síť pro vzácná neurologická onemocnění ³
Published in: Cesk Slov Neurol N 2020; 83/116(6): 584-601
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2020584

Overview

Progressive supranuclear palsy is a tauopathy belonging to atypical Parkinsonian syndromes. The main clinical symptoms include oculomotor dysfunctions, early postural instability, symmetrical hypokinetic-rigid syndrome with axial predominance and cognitive decline. The symptom variability and rate of progression depend on disease subtype. Diagnostics are based on clinical symptoms; MRI remains the most useful auxiliary method. The article is focused mainly on clinical perspectives and recent diagnostic approaches considering the latest recommendations. Symptomatic therapy remains of great importance as causal treatment is still lacking.

Keywords:

progressive supranuclear palsy – vertical gaze palsy – tauopathy – postural instability – parkinsonism – cognitive decline – Levodopa – amantadine

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