Synonyms
Pseudobulbar affect; Pseudobulbar paralysis; Spastic bulbar palsy
Short Description or Definition
The term “pseudobulbar palsy” is used to denote dysarthria and dysphagia caused by lesions of the upper motor neuron fibers in the corticobulbar pathways, as opposed to bulbar palsy, which is caused by lesions of the brain stem or lower motor neurons. The syndrome of pseudobulbar palsy can also be associated with pseudobulbar affect (PBA), and sometimes the two terms are used interchangeably. Lesions of descending white matter pathways can produce abnormal pseudobulbar affect and can be observed in multiple sclerosis (MS) patients and other cortical syndromes. Patients with pseudobulbar affect exhibit bouts of crying or laughter that are not associated with underlying feelings of sadness or happiness and typically occur with disruptions to corticopontine-cerebellar networks that are integral to regulating emotional expression.
Epidemiology
The epidemiology of pseudobulbar palsy is...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References and Readings
Brooks, B. R., Crumpacker, D., Fellus, J., Kantor, D., & Kaye, R. E. (2013). PRISM: A novel research tool to assess the prevalence of pseudobulbar affect symptoms across neurological conditions. PLoS One, 8, 1–8.
Feinstein, A. (2007). Multiple sclerosis and pseudobulbar affect. In A. Feinstein (Ed.), The clinical neuropsychiatry of multiple sclerosis (pp. 82–98). New York: Cambridge University Press.
Graham, K. C., & Speigel, D. R. (2008). Pseudobulbar palsy and affect in a case of progressive multifocal leukoencephalopathy. Journal of Neuropsychiatry & Clinical Neurosciences, 20(1), 110–111.
Kaufman, D. M. (2007). Clinical neurology for psychiatrists (6th ed.). Philadelphia: Saunders Elsevier.
Moore, D. B., & Jefferson, J. W. (2004). Handbook of medical psychiatry (2nd ed.). Philadelphia: Mosby Elsevier.
Moore, S., Gresham, L., Bromberg, M., Kasarkis, E., & Smith, R. (1997). A self report measure of affective lability. Journal of Neurology, Neurosurgery and Psychiatry, 63, 89–93.
Robinson, R. G., Parikh, R. M., Lipsey, J. R., Starkstein, S. E., & Price, T. R. (1993). Pseudobulbar affect following stroke: Validation of a measurement scale and double-blind treatment study. American Journal of Psychiatry, 150, 286–293.
Tateno, A., Jorge, R. E., & Robinson, R. (2004). Pathological laughing and crying following traumatic brain injury. Journal of Neuropsychiatry and Clinical Neurosciences, 16, 426–434.
Vidovic, V., Rovazdi, M. C., Kraml, O., & Kes, V. B. (2015). Pseudobulbar affect in multiple sclerosis patients. Acta Clinica Croatica, 54, 159–163.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this entry
Cite this entry
Meadows, ME. (2018). Pseudobulbar Palsy. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1394
Download citation
DOI: https://doi.org/10.1007/978-3-319-57111-9_1394
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-57110-2
Online ISBN: 978-3-319-57111-9
eBook Packages: Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences