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Comparison of bulbar and pseudobulbar palsy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Pseudobulbar Palsy

Bulbar Palsy

degeneration of corticobulbar pathways to V,VII,X,XI,XII

disturbance to X, XI, XII,sometimes VII, rather than the corticobulbar tracts

lower motor neurone signs absent

lower motor neurone signs present

gag reflex (+/n)

gag reflex (-)

spastic tongue

wasted tongue, fasciculations

jaw jerk (+)

jaw jerk (n)

spastic dysarthria

nasal speech

labile emotions

normal emotions

bilateral UMN

signs in limbs

 

+ = increased; - = reduced; n = normal


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