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Progressive supranuclear palsy: A cause of subcortical dementia
Author(s) -
Rea Shelagh Mary,
Patterson Diana G.
Publication year - 1987
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930020410
Subject(s) - progressive supranuclear palsy , dementia , neurological examination , medicine , psychology , physical medicine and rehabilitation , corticobasal degeneration , psychiatry , atrophy , disease , pathology
A case of progressive supranuclear palsy in a 69‐year‐old female is reported. Initially the patient presented to the pscyhiatric services with prominent paranoid delusions. Later, when dementia became more evident, neurological examination revealed typical features of progressive supranuclear palsy, including complete failure of upward gaze, facial bradykinesia, slow gait and bilateral cogwheel rigidity. During hospitalization, the patient's condition improved and she was discharged to an ordinary residential home for the elderly. This unusual presentation of dementia demonstrates, once again, the importance of a full neurological examination in all cases of dementia.