comparison of bulbar and pseudobulbar palsy

FREE subscriptions for doctors and students... click here
You have 3 more open access pages.

Pseudobulbar PalsyBulbar Palsy
degeneration of corticobulbar pathways to V,VII,X,XI,XIIdisturbance to X, XI, XII,sometimes VII, rather than the corticobulbar tracts
lower motor neurone signs absentlower motor neurone signs present
gag reflex (+/n) gag reflex (-)
spastic tonguewasted tongue, fasciculations
jaw jerk (+)jaw jerk (n)
spastic dysarthria nasal speech
labile emotions normal emotions
bilateral UMN signs in limbs

+ = increased; - = reduced; n = normal

Last reviewed 01/2018