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October 1981

Progressive Supranuclear Palsy

Author Affiliations

Istituto di Clinica Neurologica Universita di Bologna Via Ugo Foscolo 7 40123 Bologna Italy

Arch Neurol. 1981;38(10):672. doi:10.1001/archneur.1981.00510100100025

To the Editor.—  Progressive supranuclear palsy, or Steele-Richardson-Olszewski syndrome,1 is characterized by progressive supranuclear ophthalmoplegia, pseudobulbar palsy, nuchal dystonia, rigidity of the limbs, and other, less constant, cerebellar and pyramidal signs. We describe the computed tomographic (CT) findings in a patient affected by progressive supranuclear palsy.

Report of a Case.—  A 72-year-old man was admitted to the Institute of Neurology Clinic of the University of Bologna on Sept 26, 1980, with a one-year history of progressive gait and speech disturbances, abrupt falls without loss of consciousness, slowness, frequent episodes of forgetfulness, and irascibility. Familial and personal history were noncontributory.General examination was remarkable only for signs of chronic obstructive pulmonary disease. He was well oriented. The face was stiff. The speech was dysarthric. The head was cast backwards, and thereLeft, Computed tomographic scan of brain; right, magnification ( × 2) of midbrain shows enlarged aqueduct and two symmetric, round

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