Bulbar palsy: Difference between revisions
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=== Clinic === | === Clinic === | ||
* | * Bulbar palsy is an entity which involve cranial nerves 9,10,11,12 | ||
*#[[Glossopharyngeal nerve]] (CN IX) | *#[[Glossopharyngeal nerve]] (CN IX) | ||
*#[[Vagus nerve]] (CN X) | *#[[Vagus nerve]] (CN X) | ||
*#[[Accessory nerve]] (CN XI) | *#[[Accessory nerve]] (CN XI) | ||
*#[[Hypoglossal nerve]] (CN XII) | *#[[Hypoglossal nerve]] (CN XII) | ||
* [[Motor Neuron Disease|Motor Neuron Diseases]] have this entity | |||
** [[Progressive bulbar palsy]] | |||
** [[Pseudobulbar palsy]] | |||
* It is caused by a Lower motor neuron lesion in [[medulla oblongata]], or from lesions to these nerves outside [[brainstem]]. | * It is caused by a Lower motor neuron lesion in [[medulla oblongata]], or from lesions to these nerves outside [[brainstem]]. | ||
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|- | |- | ||
| | | | ||
*[[ | *[[Dysphagia]] | ||
* Difficulty in chewing | * Difficulty in chewing | ||
* Nasal regurgitation | * Nasal regurgitation | ||
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=== Causes === | === Causes === | ||
{| class="wikitable" | |||
!Dynamic | |||
!Static | |||
|- | |||
| | |||
*Degenerative diseases: [[ALS, Amyotrophic Lateral Sclerosis remedies|ALS]], Syringobulbia, Wolfram syndrome | |||
* Inflammatory/ Infective: | |||
** [[GBS, Guillian Barre syndrome|Guillain–Barré syndrome]] | |||
** [[PLV, Polio Virus|PLV]] | |||
** [[LBB, Lyme Borreliosis Bacterium|Lyme disease]] | |||
* Autoimmune: [[Myasthenia gravis]] | |||
| | |||
* Genetic: Kennedy's disease, Acute intermittent porphyria. | * Genetic: Kennedy's disease, Acute intermittent porphyria. | ||
* Vascular causes: medullary infarction | * Vascular causes: medullary infarction | ||
* Cancer: Brainstem glioma, Malignant meningitis | * Cancer: Brainstem glioma, Malignant meningitis | ||
* Toxic: botulism, venom of bark scorpion | * Toxic: botulism, venom of bark scorpion | ||
|} | |||
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|} | |} | ||
=== Related disease === | === Related disease === | ||
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* [[Motor Neuron Disease]] | * [[Motor Neuron Disease]] | ||
*[[Progressive bulbar palsy]] | *[[Progressive bulbar palsy]] | ||
*[[Myasthenia gravis]]:The ocular muscles are spared Bulbar Palsy and this differentiates it from MG. | |||
* [[Pseudobulbar palsy]]: Pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but in which the damage is located in [[UMNS, Upper Motor Neuron Syndrome entities|UMN]] of the corticobulbar tracts in the mid-pons (i.e., in the cranial nerves IX-XII), that is the nerve cells coming down from the cerebral cortex innervating the motor nuclei in the medulla. This is usually caused by stroke. | |||
=== Miasms === | === Miasms === | ||
* '''PLV''': It is the most important miasm | |||
* CXA | * CXA | ||
* EV70 | * EV70 | ||
Latest revision as of 12:09, 19 April 2023
Clinic
- Bulbar palsy is an entity which involve cranial nerves 9,10,11,12
- Glossopharyngeal nerve (CN IX)
- Vagus nerve (CN X)
- Accessory nerve (CN XI)
- Hypoglossal nerve (CN XII)
- Motor Neuron Diseases have this entity
- It is caused by a Lower motor neuron lesion in medulla oblongata, or from lesions to these nerves outside brainstem.
Signs /Symptoms
Symptoms | Signs |
---|---|
|
|
Causes
Dynamic | Static |
---|---|
|
|
Entities / Miasms
PLV | CXA | EV70 | CJD | NVCJD | FFI | |
---|---|---|---|---|---|---|
Paralysis, Bulbar |
+++ | +++ | +++ | |||
Dysarthria
Mouth/ Speech difficult / Speech nasal Nasal speech |
+++ | +++ | +++ | +++ | ||
Dysphagia | +++ | +++ | +++ | +++ | ||
Face, Plasy | +++ | |||||
LMN:
|
+++ |
Related disease
- GERD
- Motor Neuron Disease
- Progressive bulbar palsy
- Myasthenia gravis:The ocular muscles are spared Bulbar Palsy and this differentiates it from MG.
- Pseudobulbar palsy: Pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but in which the damage is located in UMN of the corticobulbar tracts in the mid-pons (i.e., in the cranial nerves IX-XII), that is the nerve cells coming down from the cerebral cortex innervating the motor nuclei in the medulla. This is usually caused by stroke.
Miasms
- PLV: It is the most important miasm
- CXA
- EV70