A 67-year-old man presents with
a history of falls. He has difficulty in reading and coming down stairs. He has
dysarthria, and akinesia and rigidity can be demonstrated. Power of the muscles
is normal, reflexes are brisk. What physical sign will help to make the
diagnosis?
a)Jaw jerk
b)Romberg’s sign
c)Tandem walking
d)Eye movements
e)Plantar response
Answer:
d)
The patient has progressive supranuclear palsy
and demonstration of impairment of voluntary gaze will allow one to make a
diagnosis
