Bulbar-symptoms: Causes & Reasons

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Possible Causes for bulbar symptoms

Progressive Bulbar Paralysis

In most cases, bulbar symptoms precede limb defects for a few years. [symptoma.com]

Bulbar symptoms such as dysphagia and dysarthria are frequent features of ALS and can result in reductions in life expectancy and quality of life. [nature.com]

In classical ALS, typically, 75 – 85% of patients eventually will develop bulbar symptoms and signs. [web.archive.org]

Amyotrophic Lateral Sclerosis Type 10

Difficulty in speaking or swallowing is the initial symptom in the bulbar form of the disease. [aafp.org]

Other symptoms of this disorder include progressive weakness of the lips and impairment and/or loss of function of the tongue, mouth, and/or voice box (bulbar symptoms). [rarediseases.org]

symptoms or signs of cognitive impairment. [jamanetwork.com]

Myasthenic Crisis

Univariate analysis revealed that events significantly associated with increased risk of POMC include symptom duration before operation 2.75months, preoperative bulbar symptoms [ncbi.nlm.nih.gov]

RESULTS: Univariate analysis revealed preoperative bulbar symptoms (odds ratio 14.246, P .001), history of preoperative myasthenic crisis (7.091,.018), and preoperative serum [ncbi.nlm.nih.gov]

Univariate analysis showed that age at onset, preoperative MGFA class, preoperative MC, presence of bulbar symptoms, operation duration, amount of intraoperative blood loss [ncbi.nlm.nih.gov]

Alexander Disease

Juvenile Alexander disease presents primarily with bulbar symptoms between 2 and 12 years of age. [ncbi.nlm.nih.gov]

In contrast to the classical infantile type, patients with juvenile and adult types mainly complain of bulbar symptoms and usually show progressive atrophy of the lower brainstem [ncbi.nlm.nih.gov]

Type II is characterized by later onset, autonomic dysfunction, ocular movement abnormalities, bulbar symptoms, and atypical MRI features. [ncbi.nlm.nih.gov]

Distal Spinal Muscular Atrophy Type 4

[…] and without bulbar symptoms 3–30 Progressive SMA Meadows et al. 1969 b 8 6:2 18–62 Arm leg Slowly progressive disease course, no bulbar symptoms 7–18 Chronic progressive [academic.oup.com]

[…] limb, proximal Yes Yes Lower limb, distal Yes Yes Muscle atrophy Proximal distal Proximal distal (generalized) Sensory loss Yes No Areflexia Yes Yes Pyramidal sign No No Bulbar [ojrd.biomedcentral.com]

[…] and signs such as spasticity, weakness and hyperreflexia where the progressive bulbar involvement causes bulbar symptoms such as dysarthria and dysphagia.[6],[4]. [explainmedicine.com]

Primary Lateral Sclerosis

Unilateral limb slowness or clumsiness was the initial complaint in four, and bulbar symptoms in one. [ncbi.nlm.nih.gov]

METHODS: Six sites enrolled 41 patients who had pure upper motor neuron dysfunction, bulbar symptoms, a normal EMG done within 12 months of enrollment, and onset of symptoms [ncbi.nlm.nih.gov]

Characterized by leg weakness, spasticity, and bulbar symptoms like dysphagia and dysarthria Additional features include cognitive impairment, eye movement abnormalities, [unboundmedicine.com]

Pseudobulbar Palsy

These bulbar symptoms often may be misinterpreted and lead to a false localization of the ischemic lesion. [ncbi.nlm.nih.gov]

Diagnosis and treatment of bulbar symptoms in amyotrophic lateral sclerosis. Nat Clin Pract Neurol. 2008; 4(7): 366-374. Mitsumoto J. [meducator3.net]

Bulbar symptoms such as dysphagia and dysarthria are frequent features of ALS and can result in reductions in life expectancy and quality of life. [nature.com]

Upper Motor Neuron Disease

These patients were divided into three group based on clinical evidence of upper and lower motor neuron involvement, bulbar symptom; amyotrophic lateral sclerosis(ALS), progressive [e-acn.org]

[…] and signs such as spasticity, weakness and hyperreflexia where the progressive bulbar involvement causes bulbar symptoms such as dysarthria and dysphagia.[6],[4]. [explainmedicine.com]

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

Acute Alcohol Intoxication

Signs and symptoms related to the presence of metabolic acidosis described previously are often prominent. [cjasn.asnjournals.org]

Although rare, cranial neuropathies and bulbar palsy appearing 10 to 14 d after the ingestion have been reported, even though patients had been treated with ethanol infusion [cjasn.asnjournals.org]

Amyotrophic Lateral Sclerosis

symptoms. [ncbi.nlm.nih.gov]

Bulbar symptom and gait disturbance gradually developed, and he was clinically diagnosed with FA syndrome. [ncbi.nlm.nih.gov]

A 42-year-old woman presented with progressive bulbar symptoms for 9 months. [ncbi.nlm.nih.gov]

Lower Motor Neuron Syndrome with Late-Adult Onset

[…] and signs such as spasticity, weakness and hyperreflexia where the progressive bulbar involvement causes bulbar symptoms such as dysarthria and dysphagia.[6],[4]. [explainmedicine.com]

However, lack of upper-extremity weakness and/or atrophy, absence of bulbar symptoms, presence of sensory deficits, and, most importantly, the fluctuating nature of the weakness [clinicaladvisor.com]

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

Spinal and Bulbar Muscular Atrophy

We describe a patient with X-linked spinal and bulbar muscular atrophy (X-SBMA) and myasthenic symptoms. [ncbi.nlm.nih.gov]

Bulbar symptoms were first noticed as a difficulty in articulating properly. [doi.org]

The location of the initial noticeable muscular weakness was lower extremities in 70.5%, upper extremities in 31.0%, bulbar symptoms in 11.4% and facial weakness in 2.4%. [doi.org]

Myasthenia Gravis

The following factors were analysed in relation to POMC: gender, age, duration of symptoms, bulbar symptoms, smoking history, history of myasthenic crisis, comorbidities, [ncbi.nlm.nih.gov]

Although the presentation is typically observed with complaints of vision and bulbar symptoms such as diplopia, dystonia, and dysphagia, this article presents a case study [ncbi.nlm.nih.gov]

Chronic Alcoholism

The differential diagnosis of occurrence of bulbar symptoms in an alcoholic has been discussed. [ncbi.nlm.nih.gov]

Abstract A 47-year-old chronic alcoholic with acute onset of spastic bulbar paralysis and quadriparesis with recovery has been reported. [ncbi.nlm.nih.gov]

Amyotrophic Lateral Sclerosis Type 1

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

Difficulty in speaking or swallowing is the initial symptom in the bulbar form of the disease. [aafp.org]

Symptoms usually progress first in already affected region Continuous progression once region (bulbar,arms, or legs) involved Other regions involved later Spread usually [neuromuscular.wustl.edu]

Distal Spinal Muscular Atrophy Type 5

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

Type 1 manifests arms more involved than legs and bulbar symptoms developing late. [clinicalgate.com]

Corneal lattice dystrophy, multiple cranial neuropathies (facial and bulbar weakness), cutis laxa. Late generalized polyneuropathy. Symptoms generally worsen with age. [neupsykey.com]

Motor Neuron Disease

Patterns of non-contiguous symptom development were also reported: leg symptoms followed bulbar onset in 30%, and bulbar symptoms followed leg onset in 11% of ALS patients [ncbi.nlm.nih.gov]

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

Bulbar symptoms, including difficulty speaking (dysarthria), difficulty swallowing (dysphagia), and excessive saliva production (sialorrhea), can also occur. [en.wikipedia.org]

Bulbar Poliomyelitis

What are the Symptoms of Bulbar Polio? [epainassist.com]

Bulbar poliomyelitis is a specific type of an extremely rare viral paralytic disease in which the typical findings of acute flaccid paralysis are accompanied by bulbar symptoms [symptoma.com]

This may cause autonomic features - eg, hyper/hypotension, respiratory failure, and bulbar symptoms, such as dysphagia and dysphonia. [patient.info]

Peripheral Neuropathy

Bulbar symptoms (an alarm sign, suggesting the disorders noted above) 2. [clinicaladvisor.com]

Distribution (mononeuropathy, polyneuropathy, multifocal, proximal, distal, symmetry, bulbar). Distal versus proximal onset of symptoms. [clinicaladvisor.com]

symptoms? [clinicaladvisor.com]

Progressive Muscular Atrophy

Our patient differs from those with Kennedy's disease in the absence of bulbar and sensory symptoms. [annalsofian.org]

However, no reports have described the use of sugammadex in patients with PMA with bulbar symptoms. [journals.lww.com]

Initial symptoms included upper limb weakness in 40.2%, lower limb weakness in 32.7%, bulbar symptoms in 24.3% and respiratory symptoms in 2.8% of the included patients. [bmjopen.bmj.com]

Urethritis

Symptoms result from inflammation of the bulbar urethra, distal to external sphincter. IBU is difficult to manage and there is no recommended therapy. [ncbi.nlm.nih.gov]

BACKGROUND: Idiopathic bulbar urethritis (IBU) is characterized by hematuria dysuria without infection. [ncbi.nlm.nih.gov]

Superior Limbic Keratoconjunctivitis

The patient subsequently underwent surgical resection of the superior bulbar conjunctiva in both eyes. Complete resolution of SLK symptoms. [ncbi.nlm.nih.gov]

All four patients had immediate and continued relief of the ocular symptoms after the superior bulbar conjunctiva was excised. [ncbi.nlm.nih.gov]

Objective tarsal conjunctiva inflammation, bulbar conjunctiva, cornea staining, and subjective symptom gradings were performed before and after 2 weeks of therapy. [ncbi.nlm.nih.gov]

Benign Prostatic Hyperplasia

Following voiding, a residue of urine becomes trapped and pooled inside the bulbar urethra and begins to drain down the urethra. [doi.org]

Previous Next John Robinson District charge nurse, Continence Service, North Lancashire Teaching Primary Care Trust, Morecambe Post-micturition dribble is a lower urinary tract symptom [doi.org]

Osteoarthritis

We found bulbar nerve involvement was most significant risk factor for MV. [onlinelibrary.wiley.com]

[…] such as autonomic dysfunction, bulbar failure or respiratory insufficiency78,79,80. [nature.com]

At 6 months after disease onset, ventilated patients had poorer outcomes with more residual symptoms and greater muscle weakness compared to the nonventilated group. [onlinelibrary.wiley.com]

Bilateral Leg Weakness

Myasthenia (bulbar symptoms, ptosis, worse with exercise, normal DTR's, respiratory insufficiency, autonomic system), botulism (baby, absent eye movements, bulbar symptoms [pedclerk.bsd.uchicago.edu]

Sensory signs and symptoms and absence of bulbar symptoms help to diagnose this. Neurophysiological assessment and imaging will confirm the diagnosis. [patient.info]

There are no bulbar symptoms and signs. The absence of UMN signs above the LMN signs increases the possibility of this diagnosis. [patient.info]

Blepharitis

Signs and symptoms of blepharitis include swelling, thickening, scaling and/or crusting of the eyelids, redness of the lid margins, bulbar and palpebral hyperemia, gritty [oraclinical.com]

Basilar Artery Thrombosis

Insidious or stuttering symptoms over a few days as a combination of the above that end with disabling motor and bulbar symptoms, a decreased level of consciousness, or both [ncbi.nlm.nih.gov]

symptoms with impaired consciousness Gradual or stuttering course of a combination of the symptoms described above that ends with disabling motor and bulbar symptoms, impaired [emedicine.medscape.com]

He divided the clinical presentation into 2 major categories: (1) long tract motor and sensory dysfunction and (2) bulbar symptoms and signs. [medlink.com]

Fazio-Londe Disease

While there is no cure for progressive bulbar palsy or for ALS, doctors can treat symptoms. [ ] Synonyms: Progressive Bulbar Palsy of Childhood, Progressive Bulbar Palsies [ebi.ac.uk]

While there is no cure for progressive bulbar palsy or for ALS, doctors can treat symptoms. [monarchinitiative.org]

The most frequent symptoms at onset of progressive bulbar paralysis of childhood has been a unilateral facial paralysis. [enacademic.com]

Syringobulbia

A review of patients with bulbar symptoms in a neurosurgical practice with an interest in hindbrain herniation in the Midland Centre for Neurosurgery and Neurology (M.C.N.N [ncbi.nlm.nih.gov]

Patients with this condition demonstrate a wide variety of bulbar neurological symptoms as well as symptoms relating to syringomyelia, depending on where exactly the syrinx [radiopaedia.org]

If the cavity/cyst extends from the cord into the brain stem it is known as syringobulbia and causes bulbar palsy type symptoms, facial pain and dizziness. [mrcpandme.blogspot.com]

Neuronal Intranuclear Inclusion Disease

We present the case of a 17-year-old boy who presented with asymmetric arm tremor and bulbar symptoms. [ncbi.nlm.nih.gov]

Their case showed asymmetric arm tremor and bulbar symptoms and responded well to levodopa. [karger.com]