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afya
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Progressive Supranuclear Palsy (also called steele richardson syndrome) Loss of vertical and then of horizontal gaze pseudobulbar palsy long tract signs neck rigidity falls, mental disturbance, slurred speech reflex eye mvts - neck flexion/extension remain intact M.F, 45-70yrs, 5-6/100000 no effective Rx - death 5-10yrs Ldopa may help, Donepezil doesn't help, Good nursing care pseudobulbar palsy degeneration of corticobulbar pathways 5,7,10,11,12 ..... 3,4,6 spared so weak chewing and facial expression, difficulty swallowing, brisk gag reflex, immobile tongue No LMN signs (unlike bulbar palsy - 10,11,12, ??7)
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slimindex, index, Neurology