Bulbar palsy

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Bulbar palsy is a collection of signs and symptoms (that is, a syndrome) which may be associated with a particular disease. Bulbar palsy can be a part of ALS, stroke, inflammatory diseases, etc. Bulbar refers to the lower brainstem, which is the control center for the cranial nerves 7-12. Palsy means weakness. That is, if muscles controlled by cranial nerves 7-12 are weak, then you talk about a bulbar palsy.

Symptoms include trouble speaking, swallowing, coughing, using the tongue, and some trouble with facial expression.

Bulbar palsy is when the signs point directly to brainstem or lower cranial nerve damage. Pseudobulbar palsy results when the connections from the cerebral cortex (above) are disrupted, so the voluntary control is non functioning but there is no intrinsic damage to the brainstem or cranial nerves themselves. Pseudobulbar palsy is seen in certain cases involving strokes on both hemispheres of the brain, and in certain degenerative disorders.


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