Progressive supranuclear palsy, a case report

Abstract

Progressive Supranuclear Palsy (PSP), also known as Steele-Richardson-Olszewski syndrome, is a rare neurodegenerative disease characterized by a variety of motor and neuro-ophthalmological symptoms. We present the case of a 73-year-old male patient with a history of type 2 diabetes and high blood pressure, who consulted for gait disorders, tremors in the extremities, and difficulty controlling conjugate gaze. During physical examination, findings consistent with PSP were noted, including hypomimia, muscle rigidity, and abnormal movements. The initial misdiagnosis of Parkinson's disease and subsequent administration of levodopa highlight the importance of accurate diagnosis in complex neurological conditions. This clinical case highlights the need for a thorough evaluation of neuro-ophthalmological symptoms and signs to ensure an appropriate therapeutic approach and improve the quality of life of patients.

Keywords: Enfermedad de Parkinson; Neuropatía óptica; Optic neuropathy; Parkinson's disease; Parkinsonismo atípico; Parálisis supranuclear progresiva; Progressive supranuclear palsy; Steele-Richardson-Olszewski syndrome; Síndrome de Steele-Richardson-Olszewski; Tauopathy; Tauopatía.