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Pseudo Bulbar Palsy

  : :   I just found out that I have P.B.Palsy from my Dr. I have epilepsy I been taking med for it for 30 years. My trouble started Aug. of 97, I started having trouble with my speech and swallowing, my dr. thought it was the medicine I was taking for epilepsy causing it. I've changed Med several times and the same. A little later I started have trouble laughing and bitting myself on the cheek and lip's, So now I'm having trouble with speech, swallowing, laughing and bitting myself. I been through a lot of test, MRI's, EEG's, blood test..the only thing that showed up was a scare tissue and a cyst on the brain. My Dr. thinks I have Pseudo Bulbar Palsy. Any info on pseudo bulbar palsy will help.
  : :                 Thank's
  : ===========================================================================
  : Dear Leonard:
  : Pseudobulbar palsy is a set of clinical signs on examination, not a diagnosis. The features include slowed slurred speech, difficulty with swallowing, weakness of face, tongue, and swallowing muscles, a tendency for uncontrollable laughter or crying, and brisk jaw and gag reflexes.
  : The commonest causes of pseudobulbar palsy are multiple bilateral strokes, multiple sclerosis, amyotrophic lateral sclerosis, progressive supranuclear palsy, some forms of static and progressive childhood diseases, and some others.
  : The fact that your symptoms are recent suggests that you pseudobulbar is from a new disorder distinct from the one causing your epilepsy. I cannot comment on the importance of the MRI findings in relation to your pseudobulbar palsy without knowing all the details of your case.
  : Good luck!
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