What is pseudo-bulbar palsy?
Pseudo-bulbar palsy is common in Stroke patients and individuals with neurological illnesses such as amyotrophic lateral sclerosis (ALS) or multiple sclerosis (MS).
What are the symptoms of pseudo-bulbar palsy?
If you have pseudo-bulbar palsy, you will have difficulty coordinating your facial muscles, particularly your tongue and several neck muscles involved in speaking and swallowing. You may also notice the following signs and symptoms:
•Dysarthria (slowed or slurred speech).
•Dysphagia (difficulty swallowing)
lead to longer mealtimes
•Accidental weight loss.
•Emotional lability; or quick or excessive fluctuations in your mood.
•Dysphonia, or spasms of your vocal cord muscles causing changes in your voice.
What causes pseudo-bulbar palsy?
Conditions that alter the nerves that convey information from your cerebral cortex to locations in your lower brain stem are the most common causes of pseudobulbar palsy. Your cerebral cortex is a multi-purpose part of your brain. Controlling your motor functions (such as jumping and talking) and senses is one of them (such as vision, touch, and smell).
The following are the most common causes of pseudo-bulbar palsy:
•Motor neuron disease.
•Stroke.
•Cerebrovascular disorders.
•Multiple sclerosis.
Who is at risk of pseudo-bulbar palsy?
You may be at risk of getting pseudo-bulbar palsy if you've had any of the following conditions:
•Motor neuron disease.
•Stroke.
•Cerebrovascular disorders.
•Multiple sclerosis.
How is pseudo-bulbar palsy diagnosed?
Your doctor will need to look at the following to see if you have pseudo-bulbar palsy:
•Face expressions.
•Emotional expression.
•Speech.
•Pseudo-bulbar palsy is frequently misdiagnosed as severe depressive disorder.
•When the primary symptom is emotional incontinence.
MRI scan of your brain to determine the cause of your symptoms or to rule out an underlying neurologic condition.
How is pseudo-bulbar palsy treated?
Pseudo-bulbar palsy has no known treatment, however, your doctor may be able to alleviate some of your symptoms. Medication, rehabilitative treatment, lifestyle changes, including dietary changes, and other therapies may be recommended by your doctor.
Treatment for the underlying cause of your pseudo-bulbar palsy may also be prescribed by your doctor. For example, they might prescribe treatment for stroke, dementia, or motor neuron disease.
Promotor exercises, pharyngeal tactile stimulation, tongue retraction exercises, effortful swallowing exercises, the Mendelssohn maneuver (a method of intentionally holding the larynx when the larynx is elevated), and shaker exercises can all help in dysphagia.
Vocal cord adduction exercises and respiration-phonation training can aid with dysarthria speech therapy.
Different Question related to Pseudo-bulbar palsy
How can you tell the difference between bulbar and pseudo-bulbar palsy?
Bulbar palsy is a lower motor neuron (LMN) lesion of cranial nerves IX, X, and XII.
A pseudo-bulbar palsy is an upper motor neuron (UMN) lesion of cranial nerves IX, X, and XII.
What does pseudo-bulbar palsy mean?
Pseudo-bulbar palsy is a syndrome of upper motor neuron (UMN) paralysis that affects the corticobulbar system above the brain stem bilaterally.
How is pseudo-bulbar palsy diagnosed?
Diagnosis of pseudo-bulbar palsy is based on observation of the symptoms according to the condition of the patient. Tests examining jaw jerk and gag reflex can also be performed.
Can the pseudo-bulbar effect be cured?
There is no cure for pseudo-bulbar affect (PBA), although the condition can be managed by oral medications. The purpose of treatment is to reduce the frequency and severity of episodes of laughing or crying. Drugs that are used to treat PBA include Antidepressants.
What medication stops crying?
The medication, Nuedexta, is the first to be approved to treat the patient with symptoms of pseudo-bulbar, or the loss of emotional control.
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