PSP PAGF: Is there anybody on the site... - PSP Association

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PSP PAGF

Fashionable profile image
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Is there anybody on the site suffering from psp pagf. It appears that the only form of psp that neurologists can diagnose is Richardson's. My friend has been told he has atypical Parkinsonism. From what I have read on line I think it is psp pagf. His main problem is his mobility, gait freeze, his writing is much smaller and his voice softer. He is able to look up and down but hardly blinks. He doesn't have a tremor and Sinamet doesn't seem to help.

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Fashionable
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8 Replies

The only way to know which neurological disease one has is a brain biopsy after death. PSP PAGF is new to me. There are so many variations on these diseases.

Fashionable profile image
Fashionable in reply to

Thanks for your reply Jeff. All the best x

honjen43 profile image
honjen43

Hi Fashionable. Welcome to this forum!

What do the letters 'PAGF' stand for? They are new to me too.

My husband was diagnosed with CBD (corticobasal degeneration). He also had reduced mobility, gait freeze, smaller writing, and softer voice. Neither Sinsmet nor Madopar, prescribed initially for suspected Parkinsons disease, did not have any effect either. This is an indication that he was not suffering from just Parkindons disease.

Whatever your friend's symptoms are, they will most likely come from reduced brain activity.

On this forum, the general advice seems to be to manage the symptoms as they occur, to keep as physically active as possible, put in place powers of attorney, plan for the time when more home help is needed, and get a support group together so that the carer can get periods of respite for carer's wellbeing and recovery.

Progression of the disease is dependent on the individual. They may become bedridden, and have difficulty swallowing,, may need to consider tube feeding (PEG) through stomach wall, or there may a sudden event that supersedes all or any of these events. Although the patient may be unable to communicate and may seem emotionless, more often than not, they can understand all that is happening, so it is important to give them hugs and affection and talk to them as normal.

There are threads on here that talk of experience using CBD oil (csnabidiol). This may be available depending on where you live.

Hope this helps! I think the most important thing is to accept it is a brain disease and that it is progressive, to, get help to manage the symptoms, and above all, to understand that the loved one is still there although responses may be reduced, and to give love and understanding!

Hugs

Jen xxx

Fashionable profile image
Fashionable in reply to honjen43

Thanks Jen.

All the very best. Hugs

Fash xx

PAGF stands for PURE AKINESIA WITH GAIT FREEZE

Survival from symptoms onset11 y. (years)

PSP - GF (PAGF)

tipes of PSPProgressive Gait freezing

(during + 3 years.) (4)

% of all PSParound 1%

Symptoms

small amplitude

Bradykinesia (1)without decrement

Feet "stick" to floor

Ataxia (6) -

Rigidity(may appear 5y. later)

Axial > Limbs

Auditory blink reflexpreserved

TremorNo

(may appear 5y. later)

Unprovoqued Falls within 3y.No

Eye movementNo

abnormalities (3)(may appear 5y. later)

Cognitive Decline - DysfunctionNo (may appear 5y. later)

DepressionCan occur ---> Frequent

Response to LevodopaNo

Others"Hypomimia, Hypophonia, Micrographia / (4) Gait disorder years before

development of other PSP-RS features."

I can send by email a comparative table (xlsx format) between the different types of PSP.

To do this I need, by "PRIVATE MAIL" of HealthUnlocked, an email address.

I recommend NOT to publish your email address in this chat.

Hugs

Luis

Fashionable profile image
Fashionable

Thank you so much Luis, that is extremely helpful.

Hugs

Dash

Gambee19 profile image
Gambee19

This is what I’ve been diagnosed as having. I usually just say I have PSP because PSP-PAGF is quite a mouthful 🥴. The symptoms you mentioned are all the same as I have. In fact, the teeny tiny handwriting was my first symptom.

Fashionable profile image
Fashionable in reply to Gambee19

Thanks Gambee.

All the best.

Hugs Fash x

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