Summary
We describe the case of a woman presenting with a clinical syndrome closely resembling progressive supranuclear palsy, who also showed some progressive neuropsychological defects (aphasia and apraxia) not consistent with a simple loss of timing and activation as is generally postulated in this pathology. The case is discussed with regard to the definition of subcortical dementia and the possible alternative diagnosis of corticobasal degeneration.
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Albert ML, Feldman RG, Willis AL (1974) The ‘subcortical dementia’ of progressive supranuclear palsy. J Neurol Neurosurg Psychiatry 37:121–130
Basso A, Capitani E, Vignolo LA (1979) Influence of rehabilitation on language skills in aphasic patients: a controlled study. Arch Neurol 36:190–196
Basso A, Capitani E, Laiacona M (1987) Raven's Colored Progressive Matrices: normative values on 305 adult normal controls. Funct Neurol 2:189–194
Brown RG, Marsden CD (1988) ’Subcortical dementia’. The neuropsychological evidence. Neurosci 25:363–387
Cambier J, Masson M, Viader F, Limodin J, Strube A (1985) Le syndrome frontal de la paralyse supranucléaire progressive. Rev Neurol (Paris) 142:528–536
Capitani E, Laiacona M (1988) Aging and psychometric diagnosis of intellectual impairment: some considerations on test scores and their use. Dev Neuropsychol 4:325–330
DeRenzi E (1986) Slowly progressive visual agnosia or apraxia without dementia. Cortex 22:171–180
DeRenzi E, Faglioni P, Savoiardo M, Vignolo LA (1966) The influence of aphasia and of the hemisphere side of the cerebral lesion on abstract thinking. Cortex 2:399–420
DeRenzi E, Motti F, Nichelli P (1980) Imitating gestures: a quantitative approach to ideomotor apraxia. Arch Neurol 37:6–10
Gibb WRG, Luthert PJ, Marsden CD (1989) Corticobasal degeneration. Brain 112:1171–1192
Goffinet AM, De Volder AG, Gillain C, Rectem D, Bol A, Michel C, Cogneau M, Labar D, Laterre C (1989) Positron tomography demonstrates frontal lobe hypometabolism in progressive supranuclear palsy. Ann Neurol 25:131–139
Kish SJ, Chang LJ, Mirchandani L, Shannak K, Hornykiewicz O (1985) Progressive supranuclear palsy: relationship between extrapyramidal disturbances, dementia, and brain neurotransmitter markers. Ann Neurol 18:530–536
Lees AJ (1987) The Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). In: Marsden CD, Fahn S (eds) Movement Disorders 2. Butterworths, London
Lewis MB, Gawel MJ (1990) Diffusuve Lewy body disease with dementia and oculomotor dysfunction. Movement Disord 5:143–147
Luzzatti C, Willmes K, bisiacchi P, DeBleser R, Mazzucchi A, Posteraro L, Taricco M, Faglia L (1987) L'Aachener Aphasie Test. Qualità psicometriche della versione italiana del test. Arch Psicol Neurol Psichiatr 48:480–512
Maher ER, Smith EM, Lees AJ (1985) Cognitive deficits in the Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). J Neurol Neurosurg Psychiatry 48:1234–1239
Mesulam M-M (1982) Slowly progressive aphasia without generalised dementia. Ann Neurol 11:592–598
Novelli G, Papagno C, Capitani E, Laiacona M, Vallar G, Cappa SF (1986) Tre test clinici di ricerca e produzione lessicale: taratura su soggetti normali. Arch Psicol Neurol Psichiatr 4:477–506
Perkin GD, Lees AJ, Stern GM, Kocen RS (1978) Problems in the diagnosis of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome). Can J Neurol Sci 5:167–173
Pillon B, Dubois B, Lhermitte F, Agid Y (1986) Heterogeneity of cognitive impariment in progressive supranuclear palsy, Parkinson disease, and Alzheimer disease. Neurology 36:1179–1185
Podoll K, Schwarz M, Noth J (1991) Language functions in progressive supranuclear palsy. Brain 114:1457–1472
Rebeitz JJ, Kolodmy EK, Richardson EP (1968) Corticodentatonigral degeneration with neuronal achromasia. Arch Neurol 18:20–23
Riley DE, Lang AE, Lewis MB, Resch L, Ashby P, Hornykiewicz D, Black S (1990) Cortical-basal ganglionic degeneration. Neurology 40:1203–1212
Ruberg M, Javoy-Agid F, Hirsch E, Scatton B, Lheureux R, Hauw JJ, Duyckaerts C, Gray F, Morel-Maroger A, Rascol A, Seraru M, Agid Y (1985) Dopaminergic and Cholinergic lesions in progressive supranuclear palsy. Ann Neurol 18:523–529
Spinnler H, Tognoni G (1987) Standardizzazione e taratura italiana di test neuropsicologici. Ital J Neurol Sci 6 [Suppl 8]
Steele J (1972) Progressive supranuclear palsy. Brain 95:693–704
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Capitani, E., Laiacona, M. & Barbarotto, R. Progressive neuropsychological and extrapyramidal deterioration resembling progresive supranuclear palsy: is aphasia relevant for correct diagnosis?. Eur Arch Psychiatry Clin Nuerosci 242, 347–351 (1993). https://doi.org/10.1007/BF02190247
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DOI: https://doi.org/10.1007/BF02190247