Disease Information for Palsy, pseudobulbar

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Clinical Manifestations
Signs & Symptoms
Choking
Dysphagia Liquids
Dysphagia Swallowing Difficulties
Gagging
Regurgitation
Slow eating pattern
Unable to swallow
Glossoptosis/Swallowing tongue
Pharyngeal cordination problems
Flaccid jaw
Hypertonia
Tongue muscle weakness
Babinski's upgoing toes/bilateral
CNS symptoms/signs
Cranial nerve abnormalities/involvement/signs
Dysarthria
Hyperreflexia/DTRs increased
Nasal speech/regurgitation
Paralysis tongue/Aphasia/Aphonia
Slow speech
Speech Locution Problems
Emotional Incontinence/Lability
Emotional/affective lability
Constriction throat/Pharyngeal dystonia
Difficulty Talking
Drooping of soft palate/sign
Frequent Gagging Choking Clearing throat
Garbled/nasal sounding voice
Nasal/Hyponasal sound to voice
Voice Alteration
Voice Alteration in Children
Voice Alteration in Elderly
Voice change/disturbance/Unusual
Difficulty Focusing Eyes
Diplopia Double vision
Disease Progression
Course/Chronic disorder
Course/Chronic only
Demographics & Risk Factors
Established Disease Population
Patient/Arteriosclerosis
Diagnostic Test Results
X-RAY With contrast
Barium Swallowing Cine Abnormality
UGI/Esophagus motility disorder
UGI/Hypopharynx/pooled barium vallecula
Associated Diseases & Rule outs
Rule Outs
Botulism
Associated Disease & Complications
Bilateral facial paralysis
Corticospinal tract lesion
Cricopharyngeal achalasia/dilatation
Esophageal motility disorder
Pneumonia, aspiration
Pneumonia, recurrent
Pneumonia/Bronchopneumonia
Pseudobulbar palsy syndrome
Ineffective Cough or Reflex
Disease Mechanism & Classification
Class
CLASS/Brain/CNS disorder (ex)
CLASS/Neurologic (category)
Process
PROCESS/Arteriosclerosis/vascular/venous (category)
PROCESS/Use/Age/atrophic disorder (category)
Definition

A syndrome characterized by DYSARTHRIA, dysphagia, dysphonia, impairment of voluntary movements of tongue and facial muscles, and emotional lability. This condition is caused by diseases that affect the motor fibers that travel from the cerebral cortex to the lower BRAIN STEM (i.e., corticobulbar tracts); including MULTIPLE SCLEROSIS; MOTOR NEURON DISEASE; and CEREBROVASCULAR DISORDERS. (From Adams et al., Principles of Neurology, 6th ed, p489)

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External Links Related to Palsy, pseudobulbar
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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