Bulbar Symptoms: Causes & Reasons

Possible Causes for Bulbar Symptoms

Less commonly, the first symptoms are in the muscles around the face and throat (the bulbar muscles): Hand and arm symptoms. [patient.info]

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

TARDBP-associated ALS also occur as long-standing symptoms in the upper limbs and with bulbar-onset in Asian patients. [scielo.br]

Progressive Bulbar Paralysis

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]

The bulbar palsy affects the lower motor neuron but the signs and symptoms are the same with the bulbar palsy. [symptomscausestreatment.com]

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

Distal Spinal Muscular Atrophy Type 4

[…] with 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]

[…] 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]

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]

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 [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]

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]

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]

Alexander Disease

It has been described as autosomally inherited in some pedigrees, presenting with prominent bulbar symptoms (dysphagia, dysphonia or dysarthria), sleep disturbance and impairment [radiopaedia.org]

On the other hand, symptoms characteristic for adult forms such as hyperreflexia, bulbar symptoms, ataxia and others can also be observed. [symptoma.com]

Type III (adult) implies a late onset consisting of bulbar signs and spasticity, but symptoms may vary from patient to patient. [symptoma.com]

Pseudobulbar Palsy

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

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]

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

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]

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]

Fazio-Londe Disease

While there is no cure for progressive bulbar palsy or for ALS, doctors can treat symptoms. [ https://rarediseases.info.nih.gov/diseases/10928/progressive-bulbar-palsy ] Synonyms [ebi.ac.uk]

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

(Medicine) bulbar | relativo al bulbo bulbar | bulb-related UGENT - Medical terms - UGENT - Medical terms - www.wordscope.com (v4.0.br.77) 'parálisis bulbar' Date index:2021 [wordscope.com]

Amyotrophic Lateral Sclerosis Type 11

Limb symptoms can develop almost simultaneously with bulbar symptoms, and in the vast majority of cases will occur within 1-2 years. [orpha.net]

Patient 1 had only lower motor neuron bulbar symptoms, patient 2 showed mainly pseudobulbar symptoms, and patients 3 and 4 clearly had upper motor and lower motor neuron symptoms [jamanetwork.com]

TARDBP-associated ALS also occur as long-standing symptoms in the upper limbs and with bulbar-onset in Asian patients. [scielo.br]

Spinal and Bulbar Muscular Atrophy

While all reported bulbar symptoms, none had disabling deficits. [n.neurology.org]

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

Signs and Symptoms Spinal-bulbar muscular atrophy (SBMA) mostly affects men and usually begins between the ages of 30 and 50, although symptoms have begun in boys as young [mda.org]

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]

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]

Amyotrophic Lateral Sclerosis

symptoms. [ncbi.nlm.nih.gov]

Patients who present with bulbar symptoms usually present with speech abnormalities and dysphagia. [symptoma.com]

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

Amyotrophic Lateral Sclerosis Type 9

Limb symptoms can develop almost simultaneously with bulbar symptoms, and in the vast majority of cases will occur within 1-2 years. [orpha.net]

symptoms (20%), respiratory muscle weakness (1-3%), generalized weakness in limbs and bulbar muscles (1-9%), axial onset with muscle weakness, muscle atrophy and fasciculations [nnjournal.net]

TARDBP-associated ALS also occur as long-standing symptoms in the upper limbs and with bulbar-onset in Asian patients. [scielo.br]

Amyotrophic Lateral Sclerosis Type 6

Factors associated with more favorable survival rates include a younger age, male gender, and limb rather than bulbar symptom onset. 5,6 For more information on the disease [mda.org]

TARDBP-associated ALS also occur as long-standing symptoms in the upper limbs and with bulbar-onset in Asian patients. [scielo.br]

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]

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]

Amyotrophic Lateral Sclerosis Type 4

Patients with ANG mutations often initially present with bulbar symptoms. Mutations in ANG1 follow an autosomal dominant pattern of inheritance. [mgz-muenchen.de]

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

Factors associated with more favorable survival rates include a younger age, male gender, and limb rather than bulbar symptom onset. 5,6 For more information on the disease [mda.org]

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]

Diphtheritic Neuropathy

In 28%, limb symptoms started or continued to worsen while bulbar symptoms had started recovering. [jnnp.bmj.com]

Thus the clinical course of complications of diphtheritic infection follows a stereotypical pattern with onset of bulbar symptoms 3–6 weeks after initial infection, onset [jnnp.bmj.com]

Limb paralysis from a segmental demyelinating process occurs with temporal regularity, with onset and resolution 35–140 days after the onset of bulbar signs and symptoms [wwwnc.cdc.gov]

Lower Extremity-Predominant Spinal Muscular Atrophy

Patient-identified impact of symptoms in spinal and bulbar muscular atrophy. Muscle Nerve 2018; 57(1):40-4 Xiang C, Zhang S, Dong X, Ma S, Cong S. [ciencialatina.org]

Patient-identified impact of symptoms in spinal and bulbar muscular atrophy. Muscle Nerve 2018; 57(1):40-4. [ Links ] 21. [scielo.edu.uy]

Spinal and bulbar muscular atrophy overview. J Mol Neurosci 2016; 58(3):317-20. Guber RD, Kokkinis AD, Schindler AB, Bendixen RM, Heatwole CR, Fischbeck KH, et al. [ciencialatina.org]

CANOMAD Syndrome

The primary clinical features of CANOMAD included: sensory symptoms, including ataxia, paresthesia, hypoesthesia (100%) motor weakness (40%) ophthalmoplegia (45%) bulbar symptoms [ashclinicalnews.org]

The main clinical features were sensitive symptoms (ataxia, paresthesia, hypoesthesia; n = 45, 100%), motor weakness (n = 18, 40%), ophthalmoplegia (n = 20, 45%), and bulbar [hal.inria.fr]

In this cohort, the median age at the onset of symptoms was 58 years, and the median delay between symptom onset and CANOMAD diagnosis was 4 years. [ashclinicalnews.org]

Lower Extremity-Predominant Spinal Muscular Atrophy Type 2

Patient-identified impact of symptoms in spinal and bulbar muscular atrophy. Muscle Nerve 2018; 57(1):40-4. [ Links ] 21. [scielo.edu.uy]

Bulbar Palsy

As the muscles of articulation are affected by bulbar palsy, symptoms will present accordingly, such as: Lip trembling Drooling – inability to swallow, saliva gathers in mouth [newyorkfacialparalysis.com]

Bulbar Palsy and Pseudobulbar Palsy Symptoms and Treatment In this article The components of normal speech Language disorders What is bulbar palsy? [patient.info]

After stopping aripiprazole, his bulbar symptoms improved. [pedneur.com]

Pseudometachromatic Leukodystrophy

In cases with slow progression, motor symptoms predominate; spastic tetraple gia, bulbar symptoms, ataxia, seizures and atrophy of the optic nerve may all occur. [redalyc.org]

In cases with slow progression, motor symptoms predominate; spastic tetraplegia, bulbar symptoms, ataxia, seizures and atrophy of the optic nerve may all occur. [elsevier.es]

Mills Syndrome

LLL-LUL-RLL RLL-RUL-LLL-LUL-bulbar symptoms LLL-LUL-RLL-RUL-bulbar symptoms Bulbar symptoms None Yes Yes Sensory symptoms None None None Tone Hypertonia in left side Hypertonia [wjgnet.com]

He had no symptoms on the right side. He did not have any sensory symptoms, bulbar symptoms, or bowel or bladder incontinence. [karger.com]

We describe a case of an 82-year-old patient with spastic hemiparesis on the left side for 4 years, slowly progressive, associated with bulbar symptoms, with clinical and [atenaeditora.com.br]

X-Linked Myopathy with Postural Muscle Atrophy

Patient-identified impact of symptoms in spinal and bulbar muscular atrophy. Muscle Nerve 2018; 57(1):40-4. [ Links ] 21. [scielo.edu.uy]

Amyotrophic Lateral Sclerosis Type 21

Subgroups of interest were participants with or without significant bulbar symptoms as categorised by the authors of the papers reviewed. [cochranelibrary.com]

NIV does not prolong survival in people with ALS who have severe bulbar dysfunction but improves sleep‐related symptoms in this subgroup. [cochranelibrary.com]

The evidence is in favour of offering NIV to all people with ALS, including those with poor bulbar function. [cochranelibrary.com]