Multi-infarct progressive supranuclear palsy--case report
Thajeb, P.; Lie, S.K.
Zhonghua Yi Xue Za Zhi 46(4): 250-252
1990
ISSN/ISBN: 0578-1337 PMID: 2178061 Document Number: 354369
A patient with supranuclear upward gaze palsy, pseudobulbar palsy, dementia, asymmetrical pyramidal signs, and atypical parkinsonism that developed after recurrent strokes was reported. The clinical features closely resembled idiopathic progressive supranuclear palsy (PSP). Computerised tomography of the brain showed, in addition to dilated third ventricle and prominent quadrigeminal plate and ambient cisterns, multiple infarcts at the thalamus, striatum, frontal subcortex and corona radiata. Multi-infarct PSP (MI-PSP) was thought to be the most likely diagnosis rather than coincidental idiopathic PSP with recurrent cerebral infarcts.