Progressive
bulbar palsy: A case report diagnosed by lingual symptoms.
In
bulbar palsy, the throat muscles are mainly involved, and this may lead to difficulties in swallowing and speech.
At the age of one, Tilly, of Warndon, Worcs, was diagnosed with
bulbar palsy - in which food enters the lungs - by doctors in Birmingham.
MY son aged six has cerebral palsy and
bulbar palsy affecting all four limbs which makes him unsteady while walking.
The term motor neuron disease was introduced by Brain (1962) in recognition of the relationship between progressive muscular atrophy, amyotrophic lateral sclerosis, and progressive
bulbar palsy, as shown by the differing patterns of involvement of upper and lower motor neurons and muscle wasting in these syndromes (Swash, 2000; Swash & Desai, 2000).
Studies show that the initial symptoms affect lower extremities in 35% of patients, upper extremities in 30-35%, and the trunk in 3-5% of patients, and 18-33% of patients present with progressive
bulbar palsy (10).
Cranial nerve involvement was present in 42% of the patients in our study group and the facial nerve paralysis was the most commonly observed palsy followed by
bulbar palsy and ocular palsy.
Amyotrophic lateral sclerosis (ALS) is a progressive neurological disorder involving both upper motor neuron (UMN) and lower motor neuron (LMN), eventually leading to muscle atrophy and weakness,
bulbar palsy, and respiratory failure.
Ciara Keating, six, relies on her wheels because she suffers from severe Cerebral Palsy and life-threatening
Bulbar Palsy.
While Holly started to thrive, Katie - who also suffered from
bulbar palsy - couldn't suck or swallow milk and doctors initially feared for the worse.
* November 18, 2004: Dr Malik visits Patient C, who had motor neurone disease and progressive
bulbar palsy. Dr Malik prescribes antibiotics in syrup and Calpol pain relief, refusing a hospital admittance.