What vitamin are you deficiant in with Progressive Bulbar Paulsy?
Question:
Answers:
Epidemiology
Onset age 50-70 years
Pathophysiology
Subtype of Amyotrophic Lateral Sclerosis (ALS)
Cranial Nerve motor nuclear atrophy, glial overgrowth
Cranial Nerve 5
Cranial Nerve 7
Cranial Nerve 9
Cranial Nerve 10
Cranial Nerve 12
Subcortical involvement of corticobulbar tracts
Symptoms
Drooling
Difficult chewing
Dysphagia
Dysarthria
Nasal regurgitation
Signs
Arm and leg spasticity
Hyperactive reflexes
Ophthalmoplegia
Fasciculation of Tongue and lip muscles
Emotional lability
Differential Diagnosis
Acute bulbar paralysis
Acute CNS vascular lesion (hemorrhage or thrombosis)
Acute Bulbar Polioencephalitis
Chronic bulbar paralysis
Syringobulbia
Multiple Sclerosis
Course
Progresses to Aspiration Pneumonia, respiratory arrest
Death in 1 to 3 years from onset
Comment added by Richard W. Webb on 2/27/04
I'm being treated at UCSF. I've been told that Progressive Bulbar Palsy (my diagnosis) is "onset ALS". Go to this web site for information, hope, and help. Print out all 21 pages and study it. I've tripled the recommended dose of Vitamin E.
http://www.lef.org/protocols/prtcls-txt/t-prtcl-008.html
Good Luck to your dad,
Richard Webb
Other Answers:
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