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Progressive supranuclear palsy - Treatment

Alternative Names

Dementia-nuchal dystonia; Richardson-Steele-Olszewski syndrome; Palsy - progressive supranuclear

Treatment:

The goal of treatment is to control symptoms. There is no known cure for progressive supranuclear palsy.

Levodopa and drugs that block the action of a nervous system chemical called acetylcholine (anticholinergic medications) may temporarily reduce symptoms. These medications are not as effective as they are for Parkinson's disease, however.

Many people with this condition will need around-the-clock care and monitoring as they lose brain functions.

Expectations (prognosis):

Treatment sometimes can reduce symptoms temporarily, but the condition will get worse. Brain function will decline over time. Death commonly occurs in 5 to 7 years.

Complications:

  • Blood clot in veins (deep vein thrombosis)
  • Lack of control over gaze
  • Loss of brain functions over time
  • Pneumonia
  • Poor nutrition (malnutrition)
  • Side effects from medications

Calling your health care provider:

Call your health care provider if you often fall, and if you have a stiff neck/body and vision problems.

Also, call if a loved one has been diagnosed with progressive supranuclear palsy and the condition has declined so much that you can no longer care for the person at home.

  • Reviewed last on: 2/6/2008
  • Daniel Kantor, MD, Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Goetz CG. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders; 2007.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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