raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99750

Atypical progressive supranuclear palsy syndrome

Synonyms: Atypical PSP syndrome

Type
Clinical subtype
Group
Subtype of disorder
Age of onset
Adult, Elderly
Status
active

A form of progressive supranuclear palsy syndrome (PSP), a rare late-onset neurodegenerative disease, characterized by an underlying PSP-tau pathology, that does not conform to the classic presentation of PSP. The clinical phenotype is variable and comprises PSP with predominant Parkinsonism (PSP-P), PSP with progressive gait freezing (PSP-PGF), PSP with predominant corticobasal syndrome (PSP-CBS), PSP with predominant speech/language disorder (PSP-SL), PSP with predominant frontal presentation (PSP-F), PSP with predominant ocular motor dysfunction (PSP-OM), and PSP with predominant postural instability (PSP-PI).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAtypical progressive supranuclear palsy syndromeAtypical PSP syndrome
frSyndrome de paralysie supranucléaire progressive atypiqueSyndrome PSP atypique
deProgressive supranukleäre Blickparese, atypischeAtypische PSP
esSíndrome de parálisis supranuclear progresiva atípicaSíndrome de PSP atípica
itParalisi sopranucleare progressiva atipicaPSP atipica
nlAtypische progressieve supranucleaire paralyse-syndroomAtypische PSP-syndroom · Atypische progressieve supranucleaire verlamming-syndroom
ptSíndrome de paralisia supranuclear progressiva atípica
plAtypowe postępujące porażenie nadjądroweAtypowe PSP
csSyndrom atypické progresivní supranukleární obrnyAtypický PSP syndrom
ukАтиповий синдром прогресуючого надядерного паралічуАтиповий синдром ПСП
zh非典型进行性核上性麻痹综合征非典型PSP综合征
trAtipik ilerleyici supranükleer felç sendromuAtipik PSP sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM260540BTNTvalidated
ICD-10G23.1NTBTattributedvalidated
ICD-118A00.10NTBTindexvalidated
MONDO0020488Evalidated
MeSHC537240Evalidated
UMLSC5548371Evalidated
GARD4507Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

Children (4):

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass onlyValidated[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

28 annotations · validated 2018-12-26
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001300Parkinsonism
Frequent (79-30%)
HP:0000496Abnormality of eye movement
HP:0000643Blepharospasm
HP:0002067Bradykinesia
HP:0000726Dementia
HP:0025330Downgaze palsy
HP:0010526Dysgraphia
HP:0007076Extrapyramidal muscular rigidity
HP:0002527Falls
HP:0005329Fixed facial expression
HP:0031825Freezing of gait
HP:0002751Kyphoscoliosis
HP:0001268Mental deterioration
HP:0000657Oculomotor apraxia
HP:0000597Ophthalmoparesis
HP:0002063Rigidity
HP:0011098Speech apraxia
HP:0009088Speech articulation difficulties
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0007256Abnormal pyramidal sign
HP:0001260Dysarthria
HP:0010522Dyslexia
HP:0004373Focal dystonia
HP:0004302Functional motor deficit
HP:0006977Grammar-specific speech disorder
HP:0006801Hyperactive deep tendon reflexes
HP:0000719Inappropriate behavior
HP:0001337Tremor

Run the differential on the 1 obligate / very frequent terms

Annotation source: 6685236[PMID]_11220749[PMID]_14991829[PMID]

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Sources for this card