Visual signs and symptoms of progressive supranuclear palsy

Clinical & Experimental Optometry : Journal of the Australian Optometrical Association
Richard A Armstrong

Abstract

Progressive supranuclear palsy is a rare, degenerative brain disorder and the second most common syndrome in which the patient exhibits 'parkinsonism', that is, a variety of symptoms involving problems with movement. General symptoms include difficulties with gait and balance; the patient walking clumsily and often falling backwards. The syndrome can be difficult to diagnose and visual signs and symptoms can help to separate it from closely related movement disorders such as Parkinson's disease, multiple system atrophy, dementia with Lewy bodies and corticobasal degeneration. A combination of the presence of vertical supranuclear gaze palsy, fixation instability, lid retraction, blepharospasm and apraxia of eyelid opening and closing may be useful visual signs in the identification of progressive supranuclear palsy. As primary eye-care practitioners, optometrists should be able to identify the visual problems of patients with this disorder and be expected to work with patients and their carers to manage their visual welfare.

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Citations

Mar 20, 2012·Acta neurologica Belgica·Abdul Qayyum Rana, Reema Shah
Nov 26, 2015·Journal of Parkinson's Disease·R A Armstrong
Dec 18, 2012·Journal of Neuropathology and Experimental Neurology·Elan D LouisJean-Paul G Vonsattel
Jul 21, 2012·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Richard A Armstrong
Sep 27, 2014·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Richard A Armstrong
Jun 23, 2015·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Richard Armstrong, Hélène Kergoat
Nov 26, 2011·Amyotrophic Lateral Sclerosis : Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases·Emilie BeaufilsJulien Praline
May 13, 2015·Postgraduate Medical Journal·Sunil Pradhan, Ruchika Tandon
Oct 27, 2016·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Richard A Armstrong
Oct 13, 2018·Movement Disorders : Official Journal of the Movement Disorder Society·Li GuoM Francesca Cordeiro
Feb 6, 2019·Acta Neuropathologica·Lien VeysLies De Groef
Aug 18, 2016·JBI Database of Systematic Reviews and Implementation Reports·Erica TilleyMicah D J Peters
Jul 11, 2020·American Journal of Alzheimer's Disease and Other Dementias·Sunil Pradhan, Ruchika Tandon
Nov 17, 2020·Frontiers in Neuroscience·Alessia IndrieriElvira De Leonibus
Feb 1, 2021·Parkinsonism & Related Disorders·Maja KlarendicMaja Kojovic
Nov 14, 2020·Journal of Neural Transmission·Rebecca HerzogAlexander Münchau
Jul 20, 2021·Acta Histochemica Et Cytochemica·Zulzikry Hafiz Abu BakarIkuo Tooyama

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