Clinical features of PSP – KnowNeuropsychology

Cognitive, Functional, and Psychiatric Features of Progressive Supranuclear Palsy

Adam Gerstenecker, Ph.D.

Assistant Professor, University of Alabama, Birmingham

^{Live lecture date: 09/27/2021}

These learning questions are brought to you by the KnowNeuropsychology / APPCN collaboration.

*This quiz has three multiple-choice questions and one discussion question.

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Journal Article Activity: Read and discuss the following article: Gerstnecker, A. (2017). The Neuropsychology (Broadly Conceived) of Multiple System Atrophy, Progressive Supranuclear Palsy, and Corticobasal Degeneration. Archives of Clinical Neuropsychology, 32, 861-875.

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Stacy is reviewing imaging data on a patient with suspected PSP. She has noted quite a bit of atrophy. In which area of the brain is she less likely to see atrophy in this patient with PSP?

Cortical areas

Basal ganglia

Brainstem

Diencephalon

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Bob is suspected of having PSP by his movement disorder specialist in neurology. He is referred for neuropsychological testing. What is the most likely finding to emerge from this exam?

Greater impairment on semantic fluency tasks than on phonemic fluency tasks

Poorer initiation/perseveration performance relative to memory functioning

Poor short and long delayed recall with great benefit from cueing

Impaired simple attention with preserved visual-spatial orientation

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Bob shared with the neuropsychologist that he is having some mood related issues. What should the neuropsychologist be concerned about in this regard?

Ruling out euphoria and delusions which are common in PSP

Only minor screening is needed given low rates of depression/anxiety in PSP

Differentiating between apathy and depression in PSP

Assessing for anxiety and apathy which co-occur frequently in PSP

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