Klinische Monatsblatter fur Augenheilkunde · 2007
[Steele-Richardson-Olszewski syndrome].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pletz C
Аннотация
BACKGROUND: Basal ganglia diseases with an akinetic-rigid symptom manifest like a Parkinson disease or an atypical Parkinson syndrome. Their symptoms are similar and therefore a diagnosis often is only possible after long-standing care of the patient. In the class of the atypical Parkinson syndromes is the progressive supranuclear palsy (PSP), which is also known as Steele-Richardson-Olszewski syndrome.
CASE REPORT: A seventy-year-old patient who reported unaccountable sudden drops and disturbances of balance as well as diplopia in near vision was examined and a retrospective analysis of the case history was carried out.
RESULTS: Only long-standing observation of the patient rendered the suspected diagnosis of a progressive supranuclear palsy (PSP) possible. Only after determination of the clinic picture of a vertical palsy to the up and the down direction and a bad optokinetic nystagmus with an existing vertical vestibular reflex could the clinical diagnosis of PSP be confirmed.
CONCLUSION: In cases with the combination of a vertical palsy, an akinetic-rigid Parkinson syndrome, pyramidal tract signs and subcortical dementia, the diagnosis of a suspected progressive supranuclear palsy should be made. L-Dopa medication has very little or no influence on PSP. At present, however, a certain diagnosis is only possible post-mortem, in spite of helpful clinical diagnostics.
CASE REPORT: A seventy-year-old patient who reported unaccountable sudden drops and disturbances of balance as well as diplopia in near vision was examined and a retrospective analysis of the case history was carried out.
RESULTS: Only long-standing observation of the patient rendered the suspected diagnosis of a progressive supranuclear palsy (PSP) possible. Only after determination of the clinic picture of a vertical palsy to the up and the down direction and a bad optokinetic nystagmus with an existing vertical vestibular reflex could the clinical diagnosis of PSP be confirmed.
CONCLUSION: In cases with the combination of a vertical palsy, an akinetic-rigid Parkinson syndrome, pyramidal tract signs and subcortical dementia, the diagnosis of a suspected progressive supranuclear palsy should be made. L-Dopa medication has very little or no influence on PSP. At present, however, a certain diagnosis is only possible post-mortem, in spite of helpful clinical diagnostics.