Progressive supranuclear palsy (PSP) or Steele-Richardson-Olszewski syndrom
e is a neurodegenerative disease of middle and late age. It is under-diagno
sed not only by general physicians but also by neurologists. The cause of P
SP is not known. Exposure to toxins and viruses has been proposed in the ae
tiology of PSP without any concrete evidence. The features of PSP resemble
those of Parkinson's disease and the two diseases are often confused. Corti
cobasal degeneration and multisystem atrophy are other differential diagnos
es. Despite certain common features with Parkinson's disease, corticobasal
degeneration, and mutisystem atrophy, there are important differences that
help to differentiate it from these disorders.