Pseudobulbar Palsy | Bulbar Palsy |
degeneration of corticobulbar pathways to V,VII,X,XI,XII | disturbance to X, XI, XII,sometimes VII, rather than the corticobulbar tracts |
lower motor neurone signs absent | lower motor neurone signs present |
gag reflex (+/n) | gag reflex (-) |
spastic tongue | wasted tongue, fasciculations |
jaw jerk (+) | jaw jerk (n) |
spastic dysarthria | nasal speech |
labile emotions | normal emotions |
bilateral UMN | signs in limbs
|
+ = increased; - = reduced; n = normal
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