title: Prevalence of progressive supranuclear palsy in Yonago: change throughout a decade.
abstract: Progressive supranuclear palsy (PSP) is a neurodegenerative disorder that is sometimes confused with Parkinson's disease, multiple system atrophy, and other disorders. The typical clinical features are categorized as Richardson's syndrome (RS), but other clinical subtypes include PSP-parkinsonism (PSP-P) and PSP-pure akinesia with gait freezing (PSP-PAGF). In this study, we determined the prevalence of PSP in a Japanese rural area compared to our previous 1999 report.
  
  
  
  We collected data in Yonago City from 2009 to 2014 using a service-based study of PSP. We collected case history data from PSP patients in the area from our hospital. The crude prevalence and 95% confidence interval (CI) were calculated using the population demographics on the prevalence day of 1 October 2010. Age- and sex-adjusted prevalence was calculated by direct standardization to the population demographics in Yonago City on the prevalence day of 1 April 1999.
  
  
  
  We identified 25 patients: 16 with probable RS, 4 with possible RS, 3 with clinical PSP-P, and 2 with clinical PSP-PAGF. The prevalence per 100,000 was 17.90 (male = 18.05; female = 17.76). The prevalence of PSP in Yonago in 2010 increased compared to the measurements from 1999.
  
  
  
  The prevalence of PSP in Japan increased from 1999 to 2010.
authors.affiliation: Division of Neurology Department of Brain and Neurosciences Faculty of Medicine Tottori University Tottori Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takigawa
authors.affiliation: Division of Neurology Department of Brain and Neurosciences Faculty of Medicine Tottori University Tottori Japan.
authors.forename: Michio
authors.initials: M
authors.lastname: Kitayama
authors.affiliation: Division of Neurology Department of Brain and Neurosciences Faculty of Medicine Tottori University Tottori Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Wada-Isoe
authors.affiliation: Division of Neurology Department of Brain and Neurosciences Faculty of Medicine Tottori University Tottori Japan.
authors.forename: Hisanori
authors.initials: H
authors.lastname: Kowa
authors.affiliation: Division of Neurology Department of Brain and Neurosciences Faculty of Medicine Tottori University Tottori Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakashima
mesh_terms: D000367:Age Factors; D000368:Aged; D005260:Female; D020233:Gait Disorders, Neurologic / Q000453:epidemiology; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D010300:Parkinson Disease / Q000453:epidemiology; D015995:Prevalence; D012737:Sex Factors; D013494:Supranuclear Palsy, Progressive / Q000453:epidemiology*
keywords: PSP‐parkinsonism; PSP‐pure akinesia with gait freezing; Richardson's syndrome; epidemiology; tauopathy