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AN ANATOMIC AND PHYSIOLOGIC ANALYSIS

ORTHELLO R. LANGWORTHY, M.D.; FREDERICK H. HESSER, M.D.

Arch Intern Med. 1940;65(1):106-121.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Pseudobulbar palsy is a syndrome about which little is known in spite of the fact that it not uncommonly follows cerebral vascular accidents and other forms of neurologic disease. It is our purpose, therefore, to present an anatomic and physiologic analysis of this condition.

Magnus¹ first reported a case in which there were features characteristic of pseudobulbar palsy following multiple apoplectic attacks; he discussed the postmortem observations. Jolly² described a patient with multiple sclerosis and "progressive bulbar paralysis" whose bulbar nuclei were normal at autopsy; Barlow³ emphasized the relation of bilateral cortical lesions to the syndrome. Ross⁴ reviewed cases from an anatomic-functional point of view, and Oppenheim and Siemerling⁵ differentiated pseudobulbar from true bulbar palsy. Hunter and Robertson⁶ and Oettinger⁷ reported typical cases.

GENERAL CONSIDERATIONS

The designation "pseudobulbar palsy" is a misnomer. The term supranuclear bulbar paralysis would be more accurate. This term indicates the general position of the lesion . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

From the subdepartment of Neurology, Johns Hopkins University, and the Medical Division of the Baltimore City Hospitals.

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