pseudobulbar palsy


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pseudobulbar palsy

paralysis of the lips and tongue, simulating progressive bulbar paralysis, but due to supranucelar lesions with bilateral involvement of the upper motor neurons; characterized by speech and swallowing difficulties, emotional instability, and spasmodic, mirthless laughter.
Synonym(s): pseudobulbar paralysis
Farlex Partner Medical Dictionary © Farlex 2012

pseudobulbar palsy

Pseudobulbar paralysis, spastic bulbar paralysis A disease of middle age, characterized by bilateral spasticity of the facial and deglutitive muscles, resulting in dysarthria, dysphonia, dysphagia, drooling, facial weakness, hyperreflexia of extremities, and shuffling–parkinsonian gait; PP is remarkable for the variable psychiatric component, in which the Pts may have a flat affect–simulating apathy or severe depression, become enmeshed in trivialities, or have inappropriate responses to environmental cues, aka 'laughing sickness' for the characteristic pathologic–ie, inappropriate laughing–or crying Etiology Multifocal infarcts, often due to ASHD, but also to HTN, infections, trauma, degeneration Treatment Antibiotics Prognosis Guarded. Cf Bulbar palsy.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

pseu·do·bul·bar pal·sy

(sū'dō-bŭl'bahr pawl'zē)
Spastic paralysis of the bulbar musculature due to bilateral impairment of corticobulbar upper motor neuron fibers.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
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References in periodicals archive ?
Foix-Chavany-Marie opercular syndrome is a severe form of pseudobulbar palsy caused by bilateral anterior opercular lesions (1,2).
Foix-Chavany-Marie Opercular Syndrome/Foix-Chavany-Marie Operkuler Sendromu
Five patients suffered hypoxic ischaemic brain injury, two had left ventricular hypertrophy, one developed pseudobulbar palsy, and the other suffered renal failure.
Obstetric patients admitted to the intensive care unit of Dr George Mukhari Academic Hospital, Ga-Rankuwa, South Africa
Dysphagia, sometimes as part of pseudobulbar palsy, is one of the most common complications of stroke among patients.
Effectiveness and Safety of Acupuncture for Poststroke Dysphagia: Study Protocol for a Pragmatic Multicenter Nonrandomized Controlled Trial
It is an acute demyelinating condition primarily affecting central pons and commonly presenting clinically with spastic quadriparesis, dysarthria, pseudobulbar palsy, and altered mental status.
Acute Psychosis as Main Manifestation of Central Pontine Myelinolysis
Box From Darwin to IEED, nomenclature has evolved over time Charles Darwin (5) was among the first to acknowledge the correlation between neurologic insult and dysregulated emotional expression, writing in 1872 that "certain brain disease, such as hemiplegia, brain-wasting, and senile decay, have a special tendency to induce weeping." In 1886, Oppenheim and Siemerling (6) proposed the terms "pseudobulbar affect" (PBA) and "pseudobulbar palsy" (a separate and distinct state that includes dyscontrol of facial muscles, resulting in dysarthria, dysphagia, and dysphonia) in their descriptions of patients with bilateral forebrain injury that appeared to mimic brainstem dysfunction.
Pseudobulbar affect: when patients laugh or cry, but don't know why
In severe cases, there is spastic quadriparesis and pseudobulbar palsy. This may evolve within 3-10 days into a locked-in-state (pseudo coma).
Central pontine myelinolysis in patients with inadvertent intravenous fluid therapy: a case report series
Examination showed the following striking findings: non-fatigable ophthalmoplegia and bilateral ptosis, and severe pseudobulbar palsy with a profoundly brisk jaw (and head) jerk.
Encephalopathy after persistent vomiting: three cases of non-alcohol-related Wernicke's encephalopathy
Twenty-four hours post podophyllin ingestion, the child's GCS remained 5/15; however, he had now developed abnormal neurological signs, including hypotonia, areflexia with no clonus and reduced power in all limbs, but with no evidence of a pseudobulbar palsy. He had no signs of autonomic dysfunction; however, he did show deficits in sensation examination with loss of pain and touch.
Accidental podophyllin poisoning in a 3-year-old child
Olszewsk, "Progressive Supranuclear Palsy, a heterogeneous degeneration involving the brain stem, basal ganglia and cerebellum with vertical gaze and pseudobulbar palsy, nuchal dystonia and dementia," Archives of Neurology, vol.
Trial of zolpidem, eszopiclone, and other GABA agonists in a patient with progressive supranuclear palsy
The patients were having normal ICP with no pseudomeningocele formation and pseudobulbar palsy except CSF leak, observed in 3 patients.
EXPERIENCE WITH ENDOSCOPIC THIRD VENTRICULOSTOMY IN THE MANAGEMENT OF HYDROCEPHALUS SECONDARY TO POSTERIOR FOSSA TUMOR
Most patients have a family history of this disease, and it is clinically characterized by recurrent subcortical ischemic strokes, sometimes leading to pseudobulbar palsy and dementia.
Male with deterioration of mental status. (Pathologic Quiz Case)
Neurologic disorders such as Arnold-Chiari malformation, myotonic dystrophy, pseudobulbar palsy, pharyngeal paresis, myasthenia gravis, and neurofibromatosis
Superior adenoidectomy in children with palatal abnormalities

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