Case Report
Year: 2020 | Month: December | Volume: 10 | Issue: 12 | Pages: 122-129
Palilalia, Paligraphia and Progressive Non fluent Aphasia in a patient with Progressive Supranuclear Palsy
Vandana.V.P
Additional Professor, Department of Speech Pathology and Audiology, G-14, OPD Block, National Institute of Mental Health and Neurosciences, Bangalore 560029
ABSTRACT
Recent studies have demonstrated that a subgroup of patients with progressive supranuclear palsy (PSP) may be associated with progressive apraxia of speech (AOS), nonfluent aphasia (PNFA), or both. We describe the cognitive-linguistic characteristics of patient with progressive supranuclear palsy with co-occurring progressive non fluent aphasia, palilalia, paligraphia and obsessive compulsive disorder symptoms. He presented with history of behavioral disturbance for six years and progressive difficulty in speaking for the last two years. Behavioral abnormalities were manifested in the form of aggressiveness, suspicion towards wife, using abusive language, apathy, withdrawn behavior, impairment in short term memory, sleep disturbances, tactile hallucinations and repetition of the same action. Spontaneous speech was characterized by significant palilalia and writing was characterized by paligraphia which had worsened over the last two years. Auditory comprehension and naming was good. He also demonstrated extrapyramidal features and mild bradykinesia.
Key words: Progressive supranuclear palsy, Progressive nonfluent aphasia, Palilalia, Paligraphia.