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Aide Memoire: There is a P in UPPER and Pseudobulbar
Bulbar Palsy | Pseudobulbar Palsy |
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Lower Motor Neurone | Upper Motor Neurone |
Polio, Guillain Barre, MND, Syringobulbia, Neurosyphilis | Bilateral Strokes, Bilateral MS plaques, Bilateral tumour s, MND, Progressive supranuclear palsy |
Tongue wasting and fasciculations, dysphagia and dysarthria and aspiration and wet voice | Increased/Brisk Jaw jerk, Weak and Spastic tongue, Dysphagia. Donald duck like tight high pitched nasal speech |
Cognition unaffected | Emotional lability, Dyspraxia often associated cognitive issues |
Need attention to protect airway, prevent aspiration, support nutrition. Overall care depends on causality | Need attention to protect airway, prevent aspiration, support nutrition. Overall care depends on causality. |