Progressive supranuclear palsy Clinical analysis of one case of diabetes mellitus.doc

 PAGE \* MERGEFORMAT 11 Progressive supranuclear palsy Clinical analysis of one case of diabetes mellitus Of: Chung Toi, who rule Huan, Huang Liping, Bai Huihua [Keywords:] progressive supranuclear palsy, diabetes Progressive supranuclear palsy (Prongressive Supranuclear palsy, PSP), also known as Steele Richardson Olszewski syndrome, neuropathy .1904 is the first report by Posey, 1964 Steele [1] describes in detail the clinical and pathological features. The disease is rare degenerative disease of the central nervous system. The clinical manifestations postural instability, parkinsonism, vertical supranuclear ophthalmoplegia, axial dystonia, pseudobulbar palsy, may be associated with mild dementia. PSP variation of clinical manifestations large, no specific laboratory tests can easily be misdiagnosed. China is currently only 20 cases reported [2], now encountered in our hospital 1 diabetes cases reported below. A case report Male patient, aged 49, for “unsteady gait, drinking water, choking, verbal clumsiness gradually increased for 2 years, falls caused by scalp laceration 30 minutes” on July 20, 2007 admission. The patient was 2 years ago, body stiffness, walking instability easily fall, water choking, verbal clumsiness, pronunciation ambiguity, diplopia, mental deterioration, unresponsive, on the symptoms gradually worsened .2006 August, twice in May 2007 outside the hospital for treatment, suspected of “brain atrophy, progressive supranuclear palsy “, given Antan and cerebrolysin other treatment ineffective. nearly 3 months to walking instability more obvious, most of the time in bed, and incontinence. nearly a month to appear sacral pressure sores, double heel ulceration .30 minutes ago fall caused bleeding scalp laceration was unconscious barriers. father is diabetic patient. into the hospital after brain surgery check head CT, X ray and other tests found no brain bleeding and fractures, debridement for granted drugs and other treatment.