Aide Memoire: There is a P in UPPER and Pseudobulbar
Bulbar Palsy Pseudobulbar Palsy
Lower Motor Neurone Upper Motor Neurone Polio, Guillain Barre, MND, Syringobulbia, Neurosyphilis Bilateral Strokes, Bilateral MS plaques, Bilateral tumours, 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.
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Bulbar vs Pseudobulbar palsy
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