Dementia-nuchal dystonia; Richardson-Steele-Olszewski syndrome; Palsy - progressive supranuclear
Symptoms
- Changes in expressions of the face
- Deeply lined face
-
Different size pupils - Difficulty swallowing
- General slowness of movement (bradykinesia)
- Jaw or face jerks or
spasms -
Loss of coordination ,unsteady gait (walking pattern) - Mild
dementia - Difficulty using knowledge
- Forgetfulness
- Indifference (
apathy ) - Slowed thought processes
- Pain or difficulty with bending the neck up or down
- Personality changes
- Repeated falls
- Slow or stiff movements
-
Speech difficulties - Low voice volume
- Poor ability to speak clearly (enunciate)
- Slow speech
- Stiffness and rigid movement in the neck, middle of the body, arms, legs
- Tremor
-
Uncontrollable eye movements - Vision difficulty -- unable to look up or down without bending the neck
Signs and tests
An exam of the nervous system (neurological examination) may show:
- Limited eye movements
- Mild dementia
- Normal vision, hearing, sensation, and voluntary control of movement
- Stiff and uncoordinated movements like those of Parkinson's disease
The health care provider may do tests to rule out other diseases.
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