Making a Diagnosis of PSP, CBD, or MSA. Jim Bower, MD, Professor of Neurology, Mayo Clinic. How does a neurologist determine which disease a patient has? Dr. Bower explains the process.
My sister was diagnosed with MSA by the Mayo Clinic after going from doctor to doctor. In the beginning, the diagnosis was Parkinson’s. She can no longer walk, feed herself, sit up by herself, comb her hair, etc., and her speech is faint. Sometimes I cannot understand her. She went through a miserable period of muscle and nerve pain and the only thing that relieved her pain was muscle relaxers. She sought out another doctor who said she has Lyme disease so she is being treated for it by that doctor. There is no improvement after three rounds of antibiotics. She always ate healthfully, never smoked, never drank, always exercised and lived her life right in every way with lots of friends and a healthy social 41:36 weight and has never been over weight. I want her to get better but it does not happen. After four plus years of this, she was put in hospice but outlived her time. Hospice no longer treats her. Her husband does everything; they have some help that they pay for out of pocket to give her therapy and to bathe her, do her hair and so forth. I wish science could find some way to reverse or at least stop the progression of neurological diseases. We feel so helpless. It is so sad watching your love one’s and her caretaker husband’s deterioration despite all the friends who help and bring over meals.
Below is the time progression of my father's symptoms. 2018 - High blood sugar 2020 - unable to empty the bladder completely 2022 - Slurred speech and loss of balance while walking 2023 - Fall of BP on standing and two episodes of unconsciousness that lasted 1 min The doctors are still not sure whether it's MSA-C because the MRI doesn't show any hot cross bun sign. He is 56 years old and currently undergoing treatment at AIIMS, Delhi.
HE NAILED IT, ONE OF THE BEST LECTURES OF MY LIFE, HE KNOWS X, Y, AND Z-AXISES OF MOVEMENT DISORDER, I WISH HE WOULD HAVE BEEN MY SUPERVISOR. THANKS, ALOT SIR , I LEARNED ALOT
Thank you Doctor , i learn a lot. It is quit depressing to be neurologist i guess, only follow up patients and see them gradually deteriorate helpless to change the course of illness.
Does having one side of the body more affected than the other (mainly tremors) rule out PSP, and rule in typical PD? Haven't fallen yet, but definite balance issues. No resting tremors (except for occasional pill rolling in right hand), hands are more or less still at rest on the lap, but difficulty getting a spoon to my mouth, and holding, pouring a water bottle. Don't seem to respond well to carb/levodopa meds.
My father is diagnosed with PSP and we feel helpless because doctors say there is no cure for this disease . What should we do now ? any suggestion from anyone ?
Aprende ingles,mi amigo😉😉.por ejemplo, yomisma aprendia ingles y un poco espaniol y ahora puedo escuchar muchas lectures en medicina aun que vivo en Belorussia.
It’d be helpful if you would spell out all the abbreviations so we can know what the disease is that you are talking about.it’s not raising education and awareness by keeping the loop closed with abbreviations that say nothing to us.
My dad has the same but its called Parkinson + MSA (multiple system disorder) .. I hv been visiting neuros regularly but to no avail , I see him struggling to move and he often gets unbearable pains .. please advise if anything can be done ..
YSR, if your dad is the same it is more likely that he has PSP and not Parkinsons + MSA. I've worked with people with PSP and none of them reported pain to any great degree. (Note: information given is not a diagnosis and is simply information.)
@@maunster3414 my mom has psp and doesn’t particularly have bad pain. She only ever complains about the left side of her neck. Understandable she is so stiff and cannot hardly move her neck.
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After going to "the best" Neurologists in New York, I am convinced that any person on the street could treat MSA just as well. That sounds very negative but if we are honest and evaluate what we are told after all the many tests we must come to the conclusion that Neurologists know next to nothing about MSA. Sad but true.
neurology is fucking scary to me.i can see all medical videos but neurology gives me chill down the spine and cold feet.u can hardly treat any neurological disorder .be it als brain cancer ,psp,cbd,msa,frontal temporal dementia or even a bfs ,epilepsy .all you do is manage epilepsy.fuck no progress is made in neurology.don't tell me u can treat ms and huntington and sma.
