Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers

ABSTRACT Background: Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) are sporadic adult-onset primary tauopathies clinically classified among the atypical parkinsonian syndromes. They are intrinsically related with regard to their clinical features, pathology, biochemistry,...

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Main Authors: Jacy Bezerra Parmera, Marcos Castello Barbosa de Oliveira, Roberta Diehl Rodrigues, Artur Martins Coutinho
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2022-08-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700126&tlng=en
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author Jacy Bezerra Parmera
Marcos Castello Barbosa de Oliveira
Roberta Diehl Rodrigues
Artur Martins Coutinho
author_facet Jacy Bezerra Parmera
Marcos Castello Barbosa de Oliveira
Roberta Diehl Rodrigues
Artur Martins Coutinho
author_sort Jacy Bezerra Parmera
collection DOAJ
description ABSTRACT Background: Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) are sporadic adult-onset primary tauopathies clinically classified among the atypical parkinsonian syndromes. They are intrinsically related with regard to their clinical features, pathology, biochemistry, and genetic risk factors. Objectives: This review highlights the current knowledge on PSP and CBD, focusing on evolving clinical concepts, new diagnostic criteria, and advances in biomarkers. Methods: We performed a non-systematic literature review through the PubMed database. The search was restricted to articles written in English, published from 1964 to date. Results: Clinicopathologic and in vivo biomarkers studies have broadened PSP and CBD clinical phenotypes. They are now recognized as a range of motor and behavioral syndromes associated with underlying 4R-tauopathy neuropathology. The Movement Disorders Society PSP diagnostic criteria included clinical variants apart from the classical description, increasing diagnostic sensitivity. Meanwhile, imaging biomarkers have explored the complexity of symptoms and pathological processes related to corticobasal syndrome and CBD. Conclusions: In recent years, several prospective or clinicopathologic studies have assessed clinical, radiological, and fluid biomarkers that have helped us gain a better understanding of the complexity of the 4R-tauopathies, mainly PSP and CBD.
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spelling doaj.art-c8dbf9c2de45422089d3082280d2fab32022-12-22T01:26:50ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272022-08-01805 suppl 112613610.1590/0004-282x-anp-2022-s134Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkersJacy Bezerra Parmerahttps://orcid.org/0000-0002-3565-5328Marcos Castello Barbosa de Oliveirahttps://orcid.org/0000-0002-1274-5312Roberta Diehl Rodrigueshttps://orcid.org/0000-0002-6544-7861Artur Martins Coutinhohttps://orcid.org/0000-0002-5555-4583ABSTRACT Background: Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) are sporadic adult-onset primary tauopathies clinically classified among the atypical parkinsonian syndromes. They are intrinsically related with regard to their clinical features, pathology, biochemistry, and genetic risk factors. Objectives: This review highlights the current knowledge on PSP and CBD, focusing on evolving clinical concepts, new diagnostic criteria, and advances in biomarkers. Methods: We performed a non-systematic literature review through the PubMed database. The search was restricted to articles written in English, published from 1964 to date. Results: Clinicopathologic and in vivo biomarkers studies have broadened PSP and CBD clinical phenotypes. They are now recognized as a range of motor and behavioral syndromes associated with underlying 4R-tauopathy neuropathology. The Movement Disorders Society PSP diagnostic criteria included clinical variants apart from the classical description, increasing diagnostic sensitivity. Meanwhile, imaging biomarkers have explored the complexity of symptoms and pathological processes related to corticobasal syndrome and CBD. Conclusions: In recent years, several prospective or clinicopathologic studies have assessed clinical, radiological, and fluid biomarkers that have helped us gain a better understanding of the complexity of the 4R-tauopathies, mainly PSP and CBD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700126&tlng=enParkinsonian DisordersTauopathiesSupranuclear Palsy, ProgressivePositron-Emission TomographyMagnetic Resonance ImagingBiomarkers
spellingShingle Jacy Bezerra Parmera
Marcos Castello Barbosa de Oliveira
Roberta Diehl Rodrigues
Artur Martins Coutinho
Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
Arquivos de Neuro-Psiquiatria
Parkinsonian Disorders
Tauopathies
Supranuclear Palsy, Progressive
Positron-Emission Tomography
Magnetic Resonance Imaging
Biomarkers
title Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
title_full Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
title_fullStr Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
title_full_unstemmed Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
title_short Progressive supranuclear palsy and corticobasal degeneration: novel clinical concepts and advances in biomarkers
title_sort progressive supranuclear palsy and corticobasal degeneration novel clinical concepts and advances in biomarkers
topic Parkinsonian Disorders
Tauopathies
Supranuclear Palsy, Progressive
Positron-Emission Tomography
Magnetic Resonance Imaging
Biomarkers
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700126&tlng=en
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