The clinical course of progressive bulbar palsy
. Amyotroph Lateral Scler 2010;11:364-8.
September 30 2004 ( Patient C is diagnosed with Motor Neurone Disease and another muscle-wasting disease Progressive Bulbar Palsy
Tilly, eight, was diagnosed with bulbar palsy
- in which food enters the lungs - when she was one.
41 (91%) patients developed bulbar palsy and 9 of them also developed bilateral 7th nerve palsy, 4 (9%) cases presented with bulbar palsy and descending paralysis and 2 of them were associated with bilateral 7th nerve palsy.
All cases presented with bulbar palsy, 9 cases associated with bilateral VII nerve palsy, 4 cases developed descending paralysis.
NNovember 18, 2004: Dr Malik visits Patient C, who was suffering from motor neurone disease and progressive bulbar palsy
, and found she had breathing difficulties and choking spasms.
Tilly Merrell, eight, had been fed through a tube in her stomach since she was a year old Doctors diagnosed a rare condition - isolated bulbar palsy
- which meant food went into her lungs, not her stomch.
She was diagnosed with isolated bulbar palsy
as a baby.
Two months after he was born, Callum was diagnosed with a rare neurological syndrome, Bulbar Palsy
, which means he is unable to swallow.
Bulbar involvement can be lower motor neuron (Bulbar palsy
), upper motor neuron (Pseudobulbar palsy), or both.
(5) Presence of bilateral lower cranial nerve palsy which was slowly progressive without any other neurological symptoms lead to the consideration of progressive bulbar palsy
. (6) Finally with the development of bilateral brisk reflexes, mild gait ataxia with extensor plantars, the evolution of the disease fit the presentation of brainstem glioma which was evident with MRI brain.