How to differentiate bulbar from pseudobulbar palsy?

Complicated question. Pseudo-bulbar palsy 1. Degeneration of corticobulbar pathways to v, vii, x, xi, xii 2. Lower motor neuron signs (-) 3. Gag reflex (+) 4. Spastic tongue 5. Jaw jerk (+) 6. Spastic dysarthria 7. Labile emotion 8. Bilateral umn bulbar palsy 1. Disturbance to x, xi, xii 2. Lower motor neuron signs (+) 3. Gag reflex (-) 4. Wasted tongue, fasciculations 5. Jaw jerk (-) 6. Nasally speech 7. Normal emotion.

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What is pseudobulbar palsy?

Pseudobulbar Palsy. Pseudobulbar palsy refers to a syndrome that appears to affect the brain stem. The cluster of symptoms include dysarthria, dysphagia and uncontrolled emotional outbursts. There are many neurological causes of pseudobulbar palsy. Read more...