| 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
|