View source for Progressive bulbar palsy

=== Clinic ===

* PBP belongs to [[Motor Neuron Disease|motor neuron diseases]]. It is located under the umbrella of Bulbar palsy since it attacks the nerves supplying of bulbar muscles. 
* It is characterized by the degeneration of motor neurons in the cerebral cortex, spinal cord, brain stem and pyramidal tracts.
* This specifically involves the [[Glossopharyngeal nerve]] (IX), [[Vagus nerve]] (X), and [[Hypoglossal nerve]] (XII).
* ICD-11 lists progressive bulbar palsy as a variant of [[ALS, Amyotrophic Lateral Sclerosis remedies|ALS]]


=== Signs / Symptoms ===

* [[Glossopharyngeal nerve]]: Reduced gag reflexes
* [[Vagus nerve]]: Weak palatal movements
*[[Hypoglossal nerve]]: 
**[[Fasciculation|Fasciculations]]
**Progressive difficulty with talking and swallowing
**Weak movement of the facial muscles and tongue
**Difficulty with pronunciations, particularly lateral consonants (linguals) and velars 
**Problems with drooling saliva 
* If [[corticobulbar tract]] is affected a [[Pseudobulbar affect]] may occur


=== Related disease ===

* [[Pseudobulbar palsy]]
* [[Progressive muscular atrophy|Progressive spinal muscular atrophy]]
* 25% of patients eventually develop ALS

=== Miasms / ===

* Paralysis, Bulbar
* Mouth, Speech , Difficult
* Dysphagia
* Mouth, Paralysis, Soft palate

=== Entities ===
[[PLV, Polio Virus|PLV]]