Atypical parkinsonisms Flashcards
1
Q
Differentials of atypical parkisnons
A
PSP
MSA
LBD
Corticobasal degeneration
2
Q
Parkinsons vs atypical
A
- No idsease modifying therapies
- Levodopa ineffective
- Shorter life expectancy than parkinsosns
- Supportive management
3
Q
Clinical features of corticobasal degenration
A
Asymmetrical - one lomb most affected
Cortical sensory loss - alien limb syndrome, dyspraxia, shape recognition deficits
Non fluent aphasa
Dystonia - stif
Slow onset saccades
Stimulus sensitive myoclonus
4
Q
Symptoms of PSP
A
Early fal backwards + postural instabolty 4
Pseudobulbar palsy
Neck dystonia
Loss of downgaze
Axial rigidity
Frontal lobe signs
Absent tremor
Applause sign
Tau pathology
Blepharospasm
Hand levitation when close eyes
4
Q
What are frontal lobe signs
A
Congitive, exec function, impulse control loss, innaprorpriate behaviour
