Clinically unclassifiable parkinsonism
Clinically unclassifiable parkinsonism (CUP) is a term applied to patients who have some parkinsonism features, but who do not fulfill clinical criteria for a particular disorder such as:
- Parkinson disease
- progressive supranuclear palsy (PSP)
- multiple system atrophy (MSA-P)
- corticobasal degeneration (CBD)
Some measures have been investigated and found to be useful in predicting evolution from CUP to PSP, e.g. Magnetic Resonance Parkinsonism Index (MRPI) or midbrain to pons area ratio.