Progressive Supranuclear Palsy

1997 Baylor College of Medicine Department of Neurology Case #7 (History and Physical and Differential Diagnosis):

This 48 year old female was referred to the Department of Neurology for evaluation of a two year history of weakness, imbalance (primarily postural instability), dysarthria, vision abnormalities, and a slow, slightly stiff gait without festination.

The patient also had declined in work performance and exhibited bradykinesia.

Review of systems was significant for dysphagia, liquids more than solids.

When asked to look in the various positions of gaze, she had a -3 under action of elevation and a -3.5 under action of depression.

Increased tone in all four extremities.

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Progressive Supranuclear Palsy is one of the leading diagnoses.

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