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15 Possible Causes for Hyperactive Brainstem Reflexes, Nasal Speech

  • Pseudobulbar Palsy

    speech labile emotions normal emotions bilateral UMN signs in limbs increased; - reduced; n normal Links: pseudobulbar palsy progressive bulbar palsy[gpnotebook.co.uk] brainstem reflexes (eg, jaw jerk), the dissociation of automatic and volitional movements of the bulbar muscles with preservation of automatic movements, and the absence[medlink.com] - nasal, soft, Daffy Duck, moist voice Emotions - normal Other - signs of the underlying cause, e.g. limb fasciculations.[quizlet.com]

  • Progressive Bulbar Palsy

    Typical symptoms of bulbar palsy include slowed or paralyzed eye movements, facial weakness, slurred speech (dysarthria or nasal), gait disturbance and dizziness.[dizziness-and-balance.com] Pseudobulbar palsy is a clinical syndrome of dysarthria, dysphagia, a hyperactive gag reflex and labile emotional responses.[radiopaedia.org] Jaw jerk – absent or normal Speechnasal “indistinct (flaccid dysarthria), lacks modulation and has a nasal twang” Emotions – normal Other – signs of the underlying cause[lifeinthefastlane.com]

  • Progressive Muscular Atrophy

    Nasal speech, often seen respiratory infections and a posture that becomes worse as the child ages are the symptoms seen in a child. Can physical therapy help?[ic.steadyhealth.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] Speech can become slurred or nasal.[web.archive.org]

  • Upper Motor Neuron Disease

    In 75% of individuals, muscles of the face and throat that control speech, swallowing and chewing also become weak and waste away, leading to slurred or nasal speech and difficulty[theconversation.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] Those mild changes include harsh or hoarseness of voice,inappropriate pauses in speech, imprecise consonants, nasal quality speech and a decreased range of pitch and loudness.Slurring[explainmedicine.com]

  • Autosomal Recessive Lower Motor Neuron Disease with Childhood Onset

    Those mild changes include harsh or hoarseness of voice,inappropriate pauses in speech, imprecise consonants, nasal quality speech and a decreased range of pitch and loudness.Slurring[explainmedicine.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] The muscles innervated by cranial nerves and corticobulbar tracts are predominantly affected, causing progressive difficulty with chewing, swallowing, and talking; nasal voice[msdmanuals.com]

  • Spinal and Bulbar Muscular Atrophy

    His father had weakness of lower limbs, and his son had a nasal voice, ocular movement abnormalities, and gynecomastia, whereas two of the proband's brothers showed either[ncbi.nlm.nih.gov] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] In about 25% of cases, ALS begins with brainstem symptoms (dysarthria, difficulty swallowing) followed by extremity weakness.[neuropathology-web.org]

  • Motor Neuron Disease

    The muscles innervated by cranial nerves and corticobulbar tracts are predominantly affected, causing progressive difficulty with chewing, swallowing, and talking; nasal voice[merckmanuals.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] voice; reduced gag reflex; fasciculations and weak movement of the facial muscles and tongue; and weak palatal movement.[merckmanuals.com]

  • Worster-Drought Syndrome

    He stated that the child should always have a normal smile, but would have variable difficulty in moving the tongue, soft palate and lips, with dysarthric slurred nasal speech[doi.org] brainstem reflexes (eg, jaw jerk), the dissociation of automatic and volitional movements of the bulbar muscles with preservation of automatic movements, and the absence[medlink.com] […] distinguished from bulbar paralysis and from disorders of the cranial nerves and neuromuscular junction (eg, botulism and myasthenia gravis) by normal eye movements, preserved or hyperactive[medlink.com]

  • Amyotrophic Lateral Sclerosis Type 4

    Other symptoms include slurred and nasal speech, and difficulty chewing or swallowing. When ALS starts in the arms or legs, it is called "limb onset" ALS.[livescience.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] Early symptoms of ALS are subtle and may include twitching, cramping, or stiffness of muscles; muscle weakness affecting an arm or a leg; slurred and nasal speech; or difficulty[medicinenet.com]

  • Amyotrophic Lateral Sclerosis Type 5

    The earliest symptoms may include twitching, cramping, or stiffness of muscles; muscle weakness affecting an arm or a leg; slurred and nasal speech; or difficulty chewing[anmjournal.com] […] tendon reflexes, and Babinski signs.[neuropathology-web.org] speech difficulty chewing or swallowing.[ninds.nih.gov]

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