Pseudobulbar palsy is caused by bilateral upper motor neuron lesions (mainly in the motor cortex and its emanating cortical brainstem tracts) that cause central paralysis of the motor nucleus of the medulla oblongata, the nucleus accumbens, and the trigeminal nucleus of the pons, resulting in central paralysis of the tongue, soft palate, pharynx, face, and masticatory muscles. Palsy: The symptoms are very similar to those of bulbar palsy, but are not caused by a lesion of the medulla oblongata itself, hence the name pseudobulbar palsy. Pseudobulbar palsy: The three main symptoms are “three main symptoms” and three difficulties: speech, feeding, and vocalization Pathological brainstem reflexes: sucking reflex, palmar chin reflex, head tilt reflex, and corneal jaw reflex are common in clinical practice. Emotional disturbances/emotional indifference, monotony, rapid change, more stereotyped in the same patient Other: intellectual impairment, memory loss, urinary disturbance, extravertebral symptoms (due to involvement of the conduction tracts of the cerebral-pontine cerebellum that travel with the cortical brainstem tract)