METHODS: We report a case series hallmarked by gait abnormalities, falls and bradykinesia in which Parkinson\'s disease was the initial diagnosis.
RESULTS: Due to a torpid clinical course, magnetic resonance imaging (MRI) was performed demonstrating midbrain atrophy, highly suggestive of progressive supranuclear palsy.
CONCLUSIONS: The neuroradiological exams (magnetic resonance imaging, single photon emission computer tomography, and positron emission tomography) can be useful for diagnosis of PSP. Treatment with levodopa should be considered, especially in patients with a more parkinsonian phenotype.
方法:我们报告了一个以步态异常为特征的病例系列,跌倒和运动迟缓,其中帕金森病是最初的诊断。
结果:由于临床过程艰难,磁共振成像(MRI)显示中脑萎缩,高度怀疑进行性核上性麻痹。
结论:神经放射学检查(磁共振成像,单光子发射计算机断层扫描,和正电子发射断层扫描)可用于PSP的诊断。应考虑使用左旋多巴治疗,尤其是在具有更多帕金森病表型的患者中。