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How fast does PSP progress?

PSP typically progresses to death in 5 to 7 years,1 with Richardson syndrome having the fastest rate of progression.
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How quickly can PSP progress?

PSP typically begins in late middle age and worsens over time, with severe disability occurring within three to five years of onset. The disease can lead to serious complications such as pneumonia, choking, head injury, and fractures.
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What are the signs and symptoms of PSP progression?

What are the symptoms of progressive supranuclear palsy?
  • Becoming more forgetful and cranky.
  • Having unusual emotional outbursts, like crying or laughing at unexpected times.
  • Becoming angry for no real reason.
  • Tremors in the hands.
  • Trouble controlling eye movements.
  • Blurred vision.
  • Slurred speech.
  • Trouble swallowing.
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What are the four stages of progressive supranuclear palsy?

The four stages are: Early stage. Mid stage. Advanced stage.
...
End of life stage:
  • Severe impairments and disabilities.
  • Rapid and marked deterioration in condition.
  • Decisions with regard to treatment interventions may be required, considering an individual's previously expressed wishes (advance decisions to refuse treatment).
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What are the end stages of progressive supranuclear palsy?

The final stages of PSP are usually dominated by an increasingly severe dysarthria and dysphagia. These features are usually described as being part of a pseudo-bulbar palsy, as brisk jaw and facial jerks may be present.
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How do the symptoms of PSP progress?

How long does final stage of PSP last?

End Stage. This is the end-of-life stage, and can last six to eight weeks. The patient will lose all or most consciousness and have severe disabilities. They will also be susceptible to acute infection.
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How long can someone live in the final stages of PSP?

What is the life expectancy of someone with progressive supranuclear palsy? People with progressive supranuclear palsy typically die six to nine years after their diagnosis. But this can vary. PSP symptoms increase your risk of developing pneumonia, which can be fatal.
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What is the average age of onset for progressive supranuclear palsy?

The only proven risk factor for progressive supranuclear palsy is age. The condition typically affects people in their late 60s and 70s. It's virtually unknown in people under the age of 40.
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Is there pain with progressive supranuclear palsy?

Conclusions. Pain is more common and more intense in PD and MSA than PSP. Differences in distribution of neurodegenerative pathologies may underlie these differential pain profiles.
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How does personality change with progressive supranuclear palsy?

PSP patients typically have deficits in cognitive functioning, difficulties with most daily activities, and present with notable behavioral disturbances—particularly apathy, impulsivity, and irritability.
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What triggers PSP?

What causes PSP? PSP occurs when brain cells in certain parts of the brain are damaged as a result of a build-up of a protein called tau. Tau occurs naturally in the brain and is usually broken down before it reaches high levels. In people with PSP, it isn't broken down properly and forms harmful clumps in brain cells.
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Do PSP patients sleep a lot?

Patients with PSP may have significant sleep pattern disruptions because the disease affects some neural circuitries that are involved in sleep processing. They may suffer from insomnia, including difficulties with falling and staying asleep.
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How can I help someone with PSP?

Physical therapy and occupational therapy, to improve balance. Facial exercises, talking keyboards, gait and balance training also can help with many of the symptoms of progressive supranuclear palsy.
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Why do people with PSP fall?

Falls are central to progressive supranuclear palsy presentation and diagnosis. Indirect locomotor and pedunculopontine nucleus dysfunction are thought to be the neural substrate of falls in this condition. Attempts to measure and prevent falls, by medical and nonmedical means, are currently limited.
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Is PSP worse than Parkinson's?

People with PSP tend to stand straight or tilt their heads backwards (resulting in backwards falls), while people with Parkinson's usually bend forwards. Problems with speech and swallowing tend to be more common and severe in PSP than in Parkinson's and are often more apparent earlier.
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Does PSP run in families?

Most cases of progressive supranuclear palsy are sporadic, which means they occur in people with no history of the disorder in their family. However, some people with this disorder have had family members with related conditions, such as parkinsonism and a loss of intellectual functions (dementia).
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What celebrities have progressive supranuclear palsy?

PSP is one of several progressive prime-of-life diseases that has claimed the lives of actors Robin Williams and Dudley Moore, and billionaire financier Richard Rainwater.
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How many people in the world have progressive supranuclear palsy?

Progressive supranuclear palsy (PSP) is a rare brain disorder that causes dementia and problems with walking and balance. About 20,000 Americans — or one in every 100,000 people over age 60 — have PSP.
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Do people with PSP get dementia?

About 1 in 10 people who have PSP have symptoms related to thinking and perception when they are diagnosed. However, about 7 in 10 people who have PSP are likely to develop dementia at some point. Although memory is not often badly affected by the condition, PSP can affect other parts of a person's thinking.
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What is the mortality of PSP?

All-cause mortality

Two (1.86%) deaths in the PSP surgery group (91.5 ± 55.5 months) and one (0.93%) death in the PSP non-surgery group (75.1 ± 38.1 months) were observed during a follow-up period of 87.4 ± 52.0 months.
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What are the behavioral changes in PSP?

Mood and behavior changes may occur. People with PSP may become irritable, forgetful, or depressed, and they may become less interested in things. They may also become more impulsive in their decision-making. PSP is a disease that changes with time.
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What activities can people with progressive supranuclear palsy do?

Structured exercises can improve strength, mobility, and balance in people living with PSP (9). Physical therapy (11) and physical activities, such as walking (12, 13), music-cued movement (14), dancing (15), and cycling (16), can also improve fitness, community ambulation, and social participation in parkinsonism.
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What is the best treatment for progressive supranuclear palsy?

There are currently no medications that treat PSP specifically, but some people in the early stages of the condition may benefit from taking levodopa, amantadine or other medications used to treat Parkinson's disease.
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What activities can you do with progressive supranuclear palsy?

Most physiotherapy interventions for PSP include an exercise regimen that consists of:
  • Aerobic exercises.
  • Transfer/balance training.
  • Gait training.
  • Weighted tool can be used to prevent backward falls.
  • Flexibility training.
  • Intensive routines.
  • Goal-oriented tasks.
  • Visual tracking.
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