{"id":359811,"date":"2026-04-27T19:53:24","date_gmt":"2026-04-27T19:53:24","guid":{"rendered":"https:\/\/www.europesays.com\/pt\/359811\/"},"modified":"2026-04-27T19:53:24","modified_gmt":"2026-04-27T19:53:24","slug":"espectro-clinico-da-paralisia-supranuclear-progressiva-relato-de-caso","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/pt\/359811\/","title":{"rendered":"Espectro cl\u00ednico da paralisia supranuclear progressiva: relato de caso"},"content":{"rendered":"<p>\n<strong>Espectro cl\u00ednico da paralisia supranuclear progressiva: relato de caso<\/strong><\/p>\n<p class=\"western\">    <b>Danilo Henrique Roratto<\/b>          <b\/>          <b>; Tain\u00e1 de Sousa Mascarenhas<\/b>          <b\/>     <\/p>\n<p>.<\/p>\n<p class=\"western\" align=\"left\">    <b>Como Citar:<\/b>     <br \/>     RORATTO, Danilo Henrique; MASCARENHAS, Tain\u00e1 de Sousa. Espectro cl\u00ednico da paralisia supranuclear progressiva: relato de caso.\u00a0Revista Sociedade Cient\u00edfica, vol. 9, n. 1, p. 993-999, 2026.     <br \/>  <a href=\"https:\/\/doi.org\/10.61411\/rsc2026131819\" rel=\"nofollow noopener\" target=\"_blank\">   https:\/\/doi.org\/10.61411\/rsc2026131819   <\/a>  <br \/>    <b>DOI:<\/b>   <a href=\"https:\/\/doi.org\/10.61411\/rsc2026131819\" rel=\"nofollow noopener\" target=\"_blank\">   10.61411\/rsc2026131819   <\/a>  <br \/>    <b>\u00c1rea do conhecimento:<\/b>     Ci\u00eancias da Sa\u00fade    <br \/>     <b>Sub-\u00e1rea:<\/b>       Medicina; Neurologia     <br \/>     <b>Palavras-chaves:<\/b>       Progressive Supranuclear Palsy; Richardson Syndrome; Postural Instability; Ophthalmoplegia; Case Report.     <br \/>     <b>Publicado:<\/b>       24 de abril de 2026.    <\/p>\n<p>.<br \/>\n <b>Abstract<\/b> <\/p>\n<p class=\"western\" style=\"text-align: justify;\">Progressive supranuclear palsy (PSP) is a rare primary tauopathy within the spectrum of atypical parkinsonian syndromes, often underdiagnosed due to its clinical heterogeneity. This study aims to report a case of PSP, highlighting its clinical features, disease progression, and diagnostic challenges. We describe a 67-year-old institutionalized male patient, longitudinally followed in a long-term care facility, whose initial presentation consisted of recurrent unexplained falls, progressing to rapid postural instability and functional decline. During follow-up, the patient developed predominantly axial parkinsonism, poor sustained response to levodopa, frontal behavioral changes, and progressive cognitive impairment, in addition to dysarthria and dysphagia. Subsequently, vertical supranuclear ophthalmoparesis with preserved vestibulo-ocular reflex was observed. Neuroimaging studies revealed only nonspecific findings, without structural abnormalities explaining the clinical picture. The overall findings were consistent with PSP, emphasizing the importance of early recognition of cardinal features \u2013 particularly early falls and oculomotor abnormalities \u2013 and the diagnostic challenges due to overlap with other parkinsonian syndromes.<\/p>\n<p><a class=\"maxbutton-1 maxbutton maxbutton-rede-social-cientifica\" target=\"_blank\" title=\"Acesso\" rel=\"noopener nofollow\" href=\"https:\/\/show.scientificsociety.net\/2026\/04\/espectro-clinico-da-paralisia-supranuclear-progressiva-relato-de-caso\/\">Artigo<\/a><br \/>\n.<br \/>\n<a class=\"maxbutton-1 maxbutton maxbutton-rede-social-cientifica\" target=\"_blank\" title=\"Acesso\" rel=\"noopener nofollow\" href=\"https:\/\/journal.scientificsociety.net\/index.php\/sobre\/issue\/view\/31\">Sum\u00e1rio<\/a><br \/>\n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1135 aligncenter\" src=\"https:\/\/www.europesays.com\/pt\/wp-content\/uploads\/2025\/08\/Qualis-B2-243x300.jpg\" alt=\"\" width=\"243\" height=\"300\"  \/><\/p>\n<p>.<\/p>\n<p>                    <\/p>\n","protected":false},"excerpt":{"rendered":"Espectro cl\u00ednico da paralisia supranuclear progressiva: relato de caso Danilo Henrique Roratto ; Tain\u00e1 de Sousa Mascarenhas .&hellip;\n","protected":false},"author":2,"featured_media":12347,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[86],"tags":[61288,61289,61290,29610,29611,29612,5080,5081,61291,61292,29615,29616,29617,61293,61294,29618,29619,35641,61295,48331,48332,61296,61297,61298,61299,61300,61301,61302,61303,47445,61304,61305,2921,61306,61307,21699,61308,61309,61310,61311,61312,5112,61313,61314,61315,116,48357,29662,29663,61316,29665,5130,61317,61318,29666,29668,57346,61319,5143,61320,61321,61322,61323,5147,5148,61324,61325,29676,61326,61327,61328,61329,7654,61330,61331,61332,61333,29677,29678,61334,61335,61336,61337,61338,5152,5153,5154,32,61339,61340,1306,33,5158,5160,5161,5162,5163,5164,5165,5166,5167,29686,29687,29688,29689,29690,29691,29692,29693,29694,5168,5169,29695,5170,61341,61342,61343,61344,35677,35678,61345,5175,5176,5177,5178,5179,5180,5181,61346,117,5183,29704,29705,29706,61347,61348,61349,61350,5193,5194,5195,29710,61351,61352,61353,61354,61355,61356],"class_list":["post-359811","post","type-post","status-publish","format-standard","has-post-thumbnail","category-saude","tag-adulto-mayor-institucionalizado","tag-alteracao-comportamental-frontal","tag-alteracao-oculomotora","tag-article-submission","tag-article-submissions","tag-article-template","tag-artigo-cientifico","tag-artigo-online","tag-atypical-parkinsonism","tag-axial-parkinsonism","tag-brazilian-journal","tag-brazilian-journals","tag-brazilian-scientific-journal","tag-caidas-tempranas","tag-cambios-conductuales-frontales","tag-capes-journal","tag-capes-qualis","tag-case-report","tag-caso-clinico","tag-ciencias-da-saude","tag-ciencias-de-la-salud","tag-clinical-case","tag-clinical-neurology","tag-cognitive-impairment","tag-comprometimento-cognitivo","tag-declinio-funcional","tag-degeneracao-neurodegenerativa","tag-deterioro-cognitivo","tag-deterioro-funcional","tag-diagnostico-diferencial","tag-differential-diagnosis","tag-disartria","tag-disfagia","tag-disfuncion-oculomotora","tag-disturbio-do-movimento","tag-doenca-rara","tag-dysarthria","tag-dysphagia","tag-early-falls","tag-enfermedad-neurodegenerativa","tag-enfermedad-rara","tag-fator-de-imapacto","tag-frontal-behavioral-changes","tag-frontal-syndrome","tag-functional-decline","tag-health","tag-health-sciences","tag-high-impact-journal","tag-high-impact-journals","tag-idoso-institucionalizado","tag-impact-factor","tag-impacto-factor","tag-inestabilidad-postural","tag-instabilidade-postural","tag-international-journal","tag-journal","tag-levodopa","tag-levodopa-unresponsiveness","tag-livro-cientifico","tag-long-term-care","tag-mala-respuesta-a-levodopa","tag-medicina-clinica","tag-mirada-vertical-limitada","tag-modelo-de-artigo","tag-modelo-de-artigo-cientifico","tag-movement-disorder","tag-movimento-ocular-vertical","tag-national-journal","tag-neurodegenerative-disease","tag-neuroimagem","tag-neuroimagen","tag-neuroimaging","tag-neurologia","tag-neurologia-clinica","tag-oculomotor-dysfunction","tag-oftalmoplegia-supranuclear","tag-oftalmoplejia-supranuclear","tag-online-article","tag-online-journal","tag-paralisia-supranuclear-progressiva","tag-paralisis-supranuclear-progresiva","tag-parkinsonian-syndrome","tag-parkinsonismo-atipico","tag-parkinsonismo-axial","tag-periodico","tag-periodico-da-capes","tag-periodico-nacional","tag-portugal","tag-postural-instability","tag-progressive-supranuclear-palsy","tag-psp","tag-pt","tag-publciar-resumo","tag-publicar-artigo","tag-publicar-artigo-cientifico","tag-publicar-capitulo-de-livro","tag-publicar-dissertacao","tag-publicar-monografia","tag-publicar-resumo-cientifico","tag-publicar-tcc","tag-publicar-tese","tag-publish-abstract","tag-publish-article","tag-publish-book-chapter","tag-publish-dissertation","tag-publish-monograph","tag-publish-scientific-abstract","tag-publish-scientific-article","tag-publish-thesis","tag-publish-undergraduate-thesis","tag-qualis","tag-qualis-capes","tag-qualis-reference","tag-qualis-referencia","tag-quedas-precoces","tag-rare-disease","tag-reflejo-vestibulo-ocular","tag-reflexo-vestibulo-ocular","tag-relato-de-caso","tag-reporte-de-caso","tag-resposta-pobre-a-levodopa","tag-revista-brasileira","tag-revista-cientifica-brasileira","tag-revista-de-impacto","tag-revista-internacional","tag-revista-online","tag-revistas-brasilieras","tag-revistas-de-impacto","tag-richardson-syndrome","tag-saude","tag-scielo","tag-scientific-article","tag-scientific-article-template","tag-scientific-book","tag-sindrome-de-richardson","tag-sindrome-frontal","tag-sindrome-parkinsoniana","tag-sindrome-parkinsoniano","tag-submeter-artigo","tag-submissao-de-artigo","tag-submissao-de-artigos","tag-submit-article","tag-supranuclear-ophthalmoplegia","tag-tauopathy","tag-tauopatia","tag-trastorno-del-movimiento","tag-vertical-gaze-palsy","tag-vestibulo-ocular-reflex"],"share_on_mastodon":{"url":"","error":"Validation 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