Administering the Neuropsychiatric Inventory (NPI), we examined the be
havioral symptoms of 22 patients with progressive supranuclear palsy (
PSP), 50 patients with Alzheimer's disease, and 40 controls. PSP patie
nts exhibited apathy (91%), disinhibition (36%), dysphoria (18%) and a
nxiety (18%), but rarely (<9%) irritability, abnormal motor behaviors,
or agitation. Apathy in PSP was significantly associated with executi
ve dysfunction. The presence of high apathy and low agitation and anxi
ety scale scores correctly identified the PSP patients 85% of the time
. Evaluating the behavioral abnormalities of patients with neurodegene
rative disorders will aid diagnosis and facilitate management.