bulbar palsy
| This is a syndromic finding with several differentials | |
|---|---|
| History | |
| Examination | Bulbar palsy: dysphonia, LMN lesion: flaccid, fasciculating tongue Pseudobulbar palsy: UMN lesions: ↑ jaw jerk, slow speech, labile emotions/"pseudobulbar affect" - mood-incongruent |
| Diagnostic investigations | |
| Differentials | Guillain-Barre syndrome, Motor neurone disease, Myasthenia gravis, brainstem tumour, central pontine myelinolysis. Pseudobulbar/corticobulbar more common. |
| Immediate management | |
| Ongoing management |