Progressive supranuclear palsy

Case contributed by Kewal Arunkumar Mistry
Diagnosis almost certain

Presentation

Longstanding parkinsonism.

Patient Data

Age: 75 years
Gender: Male

Marked atrophy of midbrain with cerebral and cerebellar atrophy. Sagittal midbrain to pons ratio = 0.11. On sagittal images it is possible to characterize the hummingbird sign. 

Case Discussion

Progressive supranuclear palsy (PSP), also known as the Steele-Richardson-Olszewski syndrome, is a neurodegenerative disease with no efficacious treatment. 

Progressive supranuclear palsy typically becomes clinically apparent in the 6th decade of life, and progresses to death usually within a decade (2-17 years from diagnosis).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.