OVERVIEW
Overview
Pseudo medullary palsy is a medullary palsy that occurs when the lesion is in the pontine brain or above the pontine brain, resulting in the loss of innervation of the motor nuclei in the medulla oblongata in the upper part of the medulla oblongata. The main manifestation is a central paralysis of the tongue, soft palate, pharynx, face and chewing muscles on top of paralysis of the limbs.
Whether medical insurance
Yes, it is
Department
Neurology
Synonyms
Pseudobulbar palsy
Clinical Symptoms
Three difficulties: speech difficulty, vocal difficulty, swallowing difficulty, etc. Emotional disturbances, such as apathy, uncontrollable crying and laughing.
Hazards
The disease can lead to pneumonia, malnutrition, and in severe cases, life-threatening.
Examination
Blood routine, CT, MRI examination, etc.
Diagnosis
Diagnosis is based on the manifestations of speech difficulty, vocal difficulty, dysphagia, etc., combined with CT and MRI examination.
Treatment principle
Symptomatic treatment, acupuncture and rehabilitation training are often used.
Curable
Symptoms can be improved with active treatment.
Dietary advice
Give a soft, non-slaggy diet and avoid spicy and irritating foods.
Causes
Causes
There are many causes of this disease, with stroke being the most common.
Symptoms and Diagnosis
Typical symptoms
1. Symptoms mainly include difficulty in speech, vocalization and swallowing. At the same time, there are signs of damage to the pyramidal tract, aphasia, ataxia and cerebellar damage, as well as cortical damage such as strong crying and strong laughing.2. Signs and symptoms: hyperpharyngeal reflex, no atrophy of the tongue muscle, normal soft palate lifting action, oblique tongue extension.
Diagnostic basis
1. Clinical manifestations mainly include speech difficulty, vocalization difficulty and swallowing difficulty. At the same time, there are signs of damage to the pyramidal fasciculus, aphasia, ataxia and cerebellar damage, and there can be strong crying, strong laughter and other cortical damage.2. Auxiliary examination CT, MRI examination is helpful for diagnosis.
Treatment
Treatment guideline
Treat the primary disease. Symptomatic treatment, acupuncture treatment and rehabilitation training are mostly used.
Drug treatment
Chinese medicine treatment is based on resolving phlegm, activating blood circulation and opening up the channels.
Other treatments
1. Active treatment of the primary disease. 2. Swallowing function training, acupuncture treatment, rehabilitation training.
Prognosis
General prognosis is poor.
Nursing care
Daily care
1. Keep the indoor environment quiet and tidy, open the windows regularly to ventilate the room, and maintain suitable temperature and humidity. 2. Keep the mouth clean to avoid infection. 3. Follow the doctor’s instructions for medication, and review regularly if there is any abnormality.
Diet
Give a soft, non-slaggy diet, avoid spicy and stimulating food.