This case report emphasizes the importance of early diagnosis of PCB and assessment of
bulbar functions and respiratory effort to pass a nasogastric tube for feeding and to provide ventilatory support without delay.
Medullary paralysis is another suffering symptom for patients, particular for the
bulbar onset patients who have this symptom in an early stage.
One child developed
bulbar dysfunction and limb weakness.
Patients with a
bulbar site of onset showed higher increased ALS risks with exposure to air pollutants in comparison with patients with a spinal onset (see Table S9).
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.
Because of her spared pupils and normal accommodation reflex,
bulbar sign, and progressive quadriparesis, we started treatment with the impression of myasthenic crisis.
Results obtained with the use of the scales in our language and in the other three languages mentioned here overlap, and it is remarkable that the total scores obtained with ALSFRS-R and the findings of the sub-headings, especially the findings of the
bulbar symptoms, were good indicators of disease survival (22,23).
The congested
bulbar conjunctivas and rash on his trunk improved; soon thereafter, all symptoms resolved.
Indications for plasmapheresis are:
bulbar symptoms of disease, myasthenic crisis and optimization of preoperative status of the patient.
Nevertheless, she did not produce any history of recurrent respiratory tract infection, aspiration, or any other symptom of
bulbar muscle weakness.
A conjunctival pedicle graft was created by measuring area of ulceration and by rotating a finger shaped piece of
bulbar conjunctiva onto corneal surface.
A total of 107 patients of aged 17-64 years met the inclusion criteria of having short-segment
bulbar urethral stricture ([less than or equal to] 1.
