European Journal of Biomedical and Pharmaceutical Sciences

BULBAR PALSY: A CASE REPORT IN GENERAL MEDICINE DEPARTMENT.

S. Kashif Zia, Sreeram Vandavasi Guru* and P. Gowtham Kumar

ABSTRACT

Bulbar palsy is detoriation of cranial nerves occurs due to the infarction either at medulla or nerves outside the brain stem. It presents with difficulty in swallowing and chewing, slurring of speech and dysarthria. In addition, there may be lower motor neuron lesions of the limbs. Though rare in occurrence (1 in 2.5 lakhs), it leads to significant morbidity and mortality. Any damage of the neurons can be diagnosed by EMG. A 78 years old male patient presented with headache, throat pain, difficulty in swallowing, slurring of speech. An initial management of neuro protective glutamate release inhibitors was given. Early detection of the disease can prolong the tracheostomy and life span of the patient.

Keywords: Bulbar palsy, motor neuron disease (MND), electro myography (EMG), electro palatography (EPA), myasthenia gravis (MG), NSAIDS, erythrocuprein (Cu,Zn SOD).