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Is PSP a serious illness?

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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Is PSP considered a terminal illness?

Although PSP isn't fatal, symptoms do continue to worsen and it can't be cured. Complications that result from worsening symptoms, such as pneumonia (from breathing in food particles while choking during eating), can be life threatening.
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Is PSP worse than Parkinson's?

Experts consider it an atypical parkinsonian syndrome (or Parkinson-plus disorder). Healthcare providers often misdiagnose PSP as Parkinson's disease, especially in the early stages of the condition. But PSP progresses faster than Parkinson's disease. The condition most commonly affects people over the age of 60.
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What are the 4 stages of PSP?

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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How long can people live with PSP?

PSP typically progresses to death in 5 to 7 years,1 with Richardson syndrome having the fastest rate of progression.
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Progressive Supranuclear Palsy - Overview, Symptoms, Causes, Diagnosis, Treatments, and Prognosis

How fast does 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 happens in the last stages of PSP?

Advanced stages

As PSP progresses to an advanced stage, people with the condition normally begin to experience increasing difficulties controlling the muscles of their mouth, throat and tongue. Speech may become increasingly slow and slurred, making it harder to understand.
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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 feel pain?

Pain. Pain can be present as a direct result of PSP, or as part of any other conditions that you are experiencing.
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Is PSP a form of dementia?

Progressive supranuclear palsy (PSP) is a frontotemporal dementia. It is characterised by difficulties with balance, movement, vision, speech and swallowing. It is caused by progressive damage to the cells in the brain that control eye movements.
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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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Do people with PSP 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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What are the first signs of PSP?

The early symptoms of progressive supranuclear palsy (PSP) are often attributed to the aging process. In many cases, after a few months, it becomes increasingly apparent that the changes are not part of normal aging. Early symptoms can include subtle changes in speech, mood, cognition, and behavior.
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What famous people 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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What is the last stage of PSP disease?

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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What personality changes occur with PSP?

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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How rare is 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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Is PSP caused by stress?

Stress is associated with the development of neurofibrillary tangles via glucocorticoids. Hypertension is associated with an increased risk for PSP by inducing the aggravation of tau pathology and neuroinflammation.
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What is the average age of onset for PSP?

According to some reports, PSP is estimated to affect as many as 5-17 in 100,000 people, but recent autopsy studies found PSP pathology in 2-6% of elderly people that had no diagnosis of PSP before death. The onset of this disorder occurs between 45 and 75 years of age, with the average age of onset at about 63 years.
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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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How many stages are there in PSP?

Of the outcome milestones, 5 were stages of a new, provisional PSP staging system. The other 8 milestones comprised death and disabling levels of cognitive loss, gaze palsy, dysarthria, dysphagia, and gait/balance impairment.
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Can you drive if you have PSP?

Loss of strength, slower reaction time, lack of concentration, vision problems may arise. Driving can become more hazardous. If members of your family suggest that you should stop driving you should take heed.
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What causes death in PSP?

Problems swallowing, which can lead to choking or inhaling food or liquid into your airway (aspiration) Pneumonia, which can be caused by aspiration and is the most common cause of death in people with progressive supranuclear palsy.
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Is PSP a form of ALS?

In contrast, amyotrophic lateral sclerosis (ALS) is not regarded as a phenotype of PSP. The co-occurrence of PSP and ALS has recently attracted greater attention. The phenotypic coexistence of PSP and ALS has been documented in several cases [7,8,9].
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