comparison of bulbar and pseudobulbar palsy
Last reviewed 01/2018
| 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