Anosognosia for chronic dysphasia

Aldo (not real name), a man with 17 years of formal education, was 60-years old at the time of our assessment. He was affected by a probable progressive supranuclear palsy (PSP) which started four years before our examination. He was treated only with antidepressants. His neuropsychological profile was characterised by executive impairments (see Table 1), which reflected in some everyday behaviour (apathy, withdrawal, social inappropriateness and fatuity). Aldo also presented with balance difficulties, clear dysarthria and severe dysphagia, characterised by altered oral and pharyngeal phases, resulting in food sticking in his throat, choking, hawking and coughing.