Progressive supranuclear palsy (PSP) is not a rare condition, but because of its increasingly recognized clinical diversity, it may be difficult to diagnose, especially in a resource poor setting where imaging modalities may not be available. As a result, progressive supranuclear palsy is often misdiagnosed as Parkinson’s disease (PD). In this case report, we would like to highlight the importance of brain Magnetic Resonance Imaging (MRI) in diagnosing early stage of progressive supranuclear palsy in a patient who was being treated as Parkinson’s disease.