Delirium Unmasking A Case Of Progressive Supranuclear Palsy- A Case Report.

Nimitha K J (1) , Porimita Chutia (2) , Ambrish Mishra (3) , Pooja Misal (4) , Bhupendra Singh (5)
(1) Department of Geriatric MentalHealth, King George's MedicalUniversity,Lucknow , India
(2) Department of Geriatric MentalHealth, King George's MedicalUniversity,Lucknow , India
(3) Department of Geriatric MentalHealth, King George's MedicalUniversity,Lucknow , India
(4) Department of Geriatric MentalHealth, King George's MedicalUniversity,Lucknow , India
(5) Department of Geriatric MentalHealth, King George's MedicalUniversity,Lucknow , India

Abstract

Progressive supranuclear palsy (PSP) is a
type of neurodegenerative extrapyramidal
syndrome. The prevalence of PSP in studies
is found to be 5.8-6.5 per 100,000 individual
with a slightly male preponderence. (
1) Onset
is usually between 55 and 70 years of age and
median survival is around 6 years after the onset of
symptomatology. (
2) It is characterized by motor
symptoms, such as postural instability, rigidity,
akinesia, supranuclear gaze palsy, pseudobulbar
palsy; levodopa-unresponsive parkinsonism, and
behavioral and cognitive symptoms. Early PSP is
also difficult to differentiate from PD; as it shares
many features like abnormalities in gait, speech,
and eye movements. Neuropsychiatric symptoms
commonly observed in patients with PSP are
dementia, apathy, depression, anxiety, disorders of
sleep and disinhibition. (
3) Approximately 20% of
patients initially present with cognitive dysfunction
and behavioral changes in the first 2 years which
often leads to misdiagnosis. (
4) The aim of this
paper is to highlight a case of previously diagnosed
Idiopathic Parkinson’s Disease who presented with
delirium and on further evaluation the diagnosis was
reviewed to Progressive Supranuclear Palsy.

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Authors

Nimitha K J
nimithaj21@gmail.com (Primary Contact)
Porimita Chutia
Ambrish Mishra
Pooja Misal
Bhupendra Singh
K J, N. ., Chutia, P., Mishra, A., Misal, P. ., & Singh, B. . (2022). Delirium Unmasking A Case Of Progressive Supranuclear Palsy- A Case Report. Journal of Medical Case Reports and Reviews, 4(10). Retrieved from https://jmcrr.info/index.php/jmcrr/article/view/33
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