Donepezil and Selegiline to Improve Balance Control in Early Progressive Supranuclear Palsy

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Donepezil and Selegiline to Improve Balance Control in Early Progressive Supranuclear Palsy

Background: No single pharmacologic treatment has proven effective for the symptomatic management of progressive supranuclear palsy. Methods: We report a case of postural instability and falls secondary to PSP of the Parkinson's subtype and initial monotherapy with donepezil 10 mg daily for 3 months followed by a novel investigation of selegiline in combination for 6 additional months. Fall fre...

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Progressive parkinsonism, balance difficulties, and supranuclear gaze palsy.

A 76-year-old man presented with a 4-year history of a progressive parkinsonian syndrome. It started with slowness of gait and mood dysfunction. Symptoms slowly progressed and further included occasional unexplained falls. On examination, he showed a severe parkinsonian syndrome featuring bradykinesia, rigidity (axial > appendicular), and positive pull-test finding. Moreover, there was an up...

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Familial progressive supranuclear palsy.

A progressive extrapyramidal syndrome and dementia occurred in three members of one family. The age of onset was in the seventh decade and the affected individuals showed many of the clinical features of progressive supranuclear palsy (PSP). Necropsy of one individual revealed the neuropathological features of PSP. We propose that this family has a familial form of PSP and review the evidence i...

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Progressive Supranuclear Palsy (PSP)

Introduction: Progressive supranuclear palsy (PSP) is a rare neurodegenerative disorder producing characteristic eye movement abnormalities in the classic presentation. The disease pathologically is marked by accumulation of abnormal tau proteins. There are useful MRI features, however the diagnosis remains clinical in the majority of cases, and no objective diagnostic test exists. Treatment at...

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Progressive supranuclear palsy.

This review concentrates on the molecular pathology of the protein tau, including its expression in various regions of the brain. The role of post-translational modifications in fibrillogenesis is also discussed, particularly hyperphosphorylation and glycation. However, the initiating event that causes aberrant tau processing remains unclear.

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ژورنال

عنوان ژورنال: Journal of Neurological Disorders

سال: 2013

ISSN: 2329-6895

DOI: 10.4172/2329-6895.1000153