Abstract：
Progressive Supranuclear Palsy (PSP), also known as Steele-Richardson-Olszewski syndrome, is a rare neurodegenerative disease characterized by a variety of motor and neuro-ophthalmological symptoms. We present the case of a 73-year-old male patient with a history of type 2 diabetes and high blood pressure, who consulted for gait disorders, tremors in the extremities, and difficulty controlling conjugate gaze. During physical examination, findings consistent with PSP were noted, including hypomimia, muscle rigidity, and abnormal movements. The initial misdiagnosis of Parkinson\'s disease and subsequent administration of levodopa highlight the importance of accurate diagnosis in complex neurological conditions. This clinical case highlights the need for a thorough evaluation of neuro-ophthalmological symptoms and signs to ensure an appropriate therapeutic approach and improve the quality of life of patients.
摘要：
进行性核上性麻痹(PSP),也被称为斯蒂尔-理查森-奥尔谢夫斯基综合征，是一种罕见的神经退行性疾病，其特征是各种运动和神经眼科症状。我们介绍了一个73岁的男性患者，有2型糖尿病和高血压病史，为步态障碍咨询的人，四肢颤抖，难以控制共轭凝视。体检时,发现与PSP一致，包括低omimia,肌肉僵硬，异常动作。帕金森病的最初误诊和随后的左旋多巴给药突出了在复杂神经系统疾病中准确诊断的重要性。该临床病例强调需要对神经眼科症状和体征进行彻底评估，以确保采用适当的治疗方法并提高患者的生活质量。
