Facial disturbance Flashcards
1
Q
Bulbar palsy (3)
A
- Flaccid fasiculating tongue
- Jaw jerk normal/absent
- Quiet/hoarse/nasal speech
2
Q
Psuedo (cortico)bulbar palsy (6)
A
- Slow tongue movements
- Slow deliberate speech
- Increased jaw jerk
- Increase pharyngeal/palatal reflexes
- Increased pharyngeal + palatal reflexes
- Puesdobulbar affect (PBA) = weeping/giggling without mood match
3
Q
What distinguishes MND from MG?
A
No involvement of eye movements
4
Q
What is the typical age of MND?
A
40+
5
Q
MND typical face sign + additional symptoms (4)
A
- Tongue fasiculations + weakness Additional: - Stumbling spastic gait - Foot drop - Proximal myopathy
6
Q
Occular myasthenia gravis (4)
A
- Bilateral asymmetric ptosis
- Ptosis worsens with sustained upwards gaze
- Diplopia
- “Peek sign” : eyelids seperate after sustained closure
7
Q
Occular MG vs puesdobulbar/bulbar palsy?
A
2nd involves bulbar function i.e speech/tongue/mouth/jaw jerk
