球麻痺
WordNet
- a modified bud consisting of a thickened globular underground stem serving as a reproductive structure
- anything with a round shape resembling a teardrop
- a rounded part of a cylindrical instrument (usually at one end); "the bulb of a syringe"
- a rounded dilation or expansion in a canal or vessel or organ
- a condition marked by uncontrollable tremor
- affect with palsy
- become friends; act friendly towards (同)pal up, chum up
- involving the medulla oblongata; "bulbar paralysis"
PrepTutorEJDIC
- 『球根』(ユり・タマネギなどの地下茎),りん(鱗)茎,球茎 / 球根状のもの;電球,真空管
- 麻痺(まひ),中風 / …‘を'麻痺させる(paralyze)
- 《話》『友達』,仲間,親友 / (…と)仲よくなる《[『up』]『with』+『名』》
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/09/12 12:36:36」(JST)
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Bulbar Palsy |
Classification and external resources |
ICD-10 |
G12.2 |
ICD-9 |
335.22 |
OMIM |
211530 |
DiseasesDB |
16043 |
MeSH |
D010244 |
Bulbar palsy refers to impairment of function of the cranial nerves IX, X, XI and XII, which occurs due to a lower motor neuron lesion either at nuclear or fascicular level in the medulla oblongata or from lesions of the lower cranial nerves outside the brainstem.[1]
In contrast, pseudobulbar palsy describes impairment of function of cranial nerves IX-XII due to upper motor neuron lesions of the corticobulbar tracts in the mid-pons. For clinically evident dysfunction to occur, such lesions must be bilateral as these cranial nerve nuclei receive bilateral innervation.
Bulbar Palsy is an assortment of signs and symptoms, not the name of a precise disease.
Contents
- 1 Causes
- 2 Symptoms
- 3 Signs
- 4 See also
- 5 References
- 6 External links
Causes
- Genetic: Kennedy's disease, acute intermittent porphyria
- Vascular causes: medullary infarction
- Degenerative diseases: motor neuron disease (amyotrophic lateral sclerosis), syringobulbia
- Inflammatory/infective: Guillain-Barré syndrome, poliomyelitis, Lyme disease
- Malignancy: brain-stem glioma
- Toxic: botulism
- Autoimmune: myasthenia gravis
Symptoms
These include:
- dysphagia (difficulty in swallowing)
- difficulty in chewing
- nasal regurgitation
- slurring of speech
- choking on liquids
- Dysphonia (defective use of the voice)
- Dysarthria (difficulty in articulating words due a CNS problem)
Signs
These include:
- Nasal speech lacking in modulation and difficulty with all consonants
- Tongue is atrophic and shows fasciculations.
- Dribbling of saliva.
- Weakness of the soft palate, examined by asking the patient to say aah.
- The jaw jerk is normal or absent.
- The gag reflex is absent.
- In addition, there may be lower motor neuron lesions of the limbs.
The ocular muscles are spared and this differentiates it from myasthenia gravis.
Pseudobulbar palsy is a clinical syndrome similar to bulbar palsy but the damage is occurred in upper motor neurons, that is the nerves cells come down from the cerebral cortex inervating the motor nuclei in the medulla. This is usually caused by stroke.
See also
- Progressive bulbar palsy
- Pseudobulbar palsy
References
- ^ "Bulbar Palsy". Palsy.
External links
- Comparison of bulbar palsy with pseudobulbar palsy
UpToDate Contents
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English Journal
- Identification of p.Gln858* in ATP13A2 in two EOPD patients and presentation of their clinical features.
- Malakouti-Nejad M1, Shahidi GA2, Rohani M2, Shojaee SM3, Hashemi M4, Klotzle B5, Fan JB5, Elahi E6.
- Neuroscience letters.Neurosci Lett.2014 Aug 8;577:106-11. doi: 10.1016/j.neulet.2014.06.023. Epub 2014 Jun 17.
- We present results of homozygosity mapping in two siblings affected with early onset Parkinson's disease (EOPD) and mutation screening of ATP13A2 in these and other Iranian EOPD patients. Genome-wide SNP homozygosity analysis revealed linkage to a locus that included ATP13A2, and sequencing of the g
- PMID 24949580
- Epidemiological characteristics of motor neuron disease in Chinese patients.
- Cui F1, Liu M, Chen Y, Huang X, Cui L, Fan D, Pu C, Lu J, Zhou D, Zhang C, Yan C, Li C, Ding X, Liu Y, Li X, Jiang Y, Zhang J, Shang H, Yao X, Ding Y, Niu Q, Wang L.
- Acta neurologica Scandinavica.Acta Neurol Scand.2014 Aug;130(2):111-7. doi: 10.1111/ane.12240. Epub 2014 Apr 1.
- BACKGROUND: The epidemiology, diagnosis, and treatment of motor neuron disease (MND) in Chinese patients are ill known.METHODS: A registered study of 461 MND patients was conducted across 10 facilities in 7 Chinese cities from February 2009 to March 2010.RESULTS: Patients were classified as amyotrop
- PMID 24689740
- A 59-year-old man with acute onset of paralysis.
- Cassa RS1, Rosengart AJ.
- JAAPA : official journal of the American Academy of Physician Assistants.JAAPA.2014 Aug;27(8):29-31. doi: 10.1097/01.JAA.0000450805.98459.e6.
- Botulism is a neuroparalytic illness resulting from the action of a potent toxin produced by the organism Clostridium botulinum. It can present with a classic triad of clear mentation, bulbar palsy and symmetric descending paralysis. Treatment is symptomatic and includes a botulinum antitoxin.
- PMID 25054790
Japanese Journal
- 谷口 洋,井上 聖啓,楠 進
- 嚥下医学 : 日本嚥下医学会学会誌 = Deglutition : the official journal of the Society of Swallowing and Dysphagia of Japan 3(1), 75-78, 2014
- NAID 40019973338
- 症例報告 進行性球麻痺のみを呈した高齢発症重症筋無力症の1例
- 症例報告 球麻痺にて発症した筋萎縮性側索硬化症にサルコイドーシスを合併した1例
- 久保田 昭洋,伊崎 祥子,王子 聡 [他]
- 日本サルコイドーシス/肉芽腫性疾患学会雑誌 = The Japanese journal of sarcoidosis and other granulomatous disorders 33(1・2), 147-150, 2013
- NAID 40019836025
Related Links
- bulbar palsy Etymology: L, bulbus, swollen root; Gk, paralyein, to be palsied a form of paralysis resulting from a defect in the motor centers of the medulla oblongata. See also bulbar poliomyelitis. pro·gress·ive bul·bar pal·sy one of ...
- Origin [edit] The disease was first recognized by French neurologist, G. Duchenne in 1860 and termed, “labioglossolaryngeal paralysis”. [4] In 1859, Wachsmuth changed the name to progressive bulbar palsy. In 1869, Charcot studied ...
Related Pictures
★リンクテーブル★
[★]
- 英
- pseudobulbar palsy
- 同
- 偽性球麻痺
- 関
- 球麻痺
[show details]
[★]
- 英
- bulbar paralysis bulbar palsy
- 同
- 延髄橋麻痺、延髄球麻痺
- 関
- 偽性球麻痺
- 延髄の病変で、舌咽神経、迷走神経、舌下神経が両側性に冒され、発語、嚥下・咀嚼ができなくなるのを球麻痺という。咽頭反射:減弱・消失。軟口蓋反射:好機まで保たれる。下顎反射:減弱・消失(三叉神経運動核が障害されるため)。(BET.233)
- 両側の皮質延髄路の障害、構音と嚥下が傷害されるものは偽性球麻痺である。咽頭反射:保たれている症例が多い。軟口蓋反射:初期から減弱・消失。下顎反射:亢進。(BET.233)
[★]
- 英
- bulbar palsy
- 関
- 球麻痺
[★]
進行性球麻痺
- 関
- bulbar palsy、bulbar paralysis、Fazio-Londe syndrome
[★]
- 関
- eyeball、globe、medullary、ocular
- 関
- medulla oblongata 延髄
[★]
- 麻痺、運動麻痺
- 関
- cauterize、numb、paralysis、paralyze、paresis、plegia、Todd's paralysis
[★]
- 関
- ball、globe、globus、sphere、olfactory bulb