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<meta name="keywords" content="C1838579, finding, pseudobulbar signs, pseudobulbar symptoms, sign or symptom, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Pseudobulbar signs result from injury to an upper motor neuron lesion to the corticobulbar pathways in the pyramidal tract. Patients have difficulty chewing, swallowing and demonstrate slurred speech (often initial presentation) as well as abnormal behavioral symptoms such as inappropriate emotional outbursts of uncontrolled laughter or weeping etc." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
UID=374006
ConceptID=C1838579
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Pseudobulbar signs</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>374006</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1838579</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding; Sign or Symptom</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonym:</td>
<td>Pseudobulbar symptoms</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0002200">HP:0002200</a></td></tr>
</tbody></table></div><div class="rprt-body jig-ncbiinpagenav" data-jigconfig="smoothScroll: false, gotoTopLink: true, gotoTopLinkText: '', gotoTopLinkAttrs: {'title': 'Go to the top of the page'},allHeadingLevels: ['h1'], topOfPageTOC: true, tocId: 'my-toc'"><div id="rprt-tabs-1" class="rprt-tab"><div id="tb-termsProp-1"><div class="leftCol mgCol"><div>
<div class="portlet mgSection" id="ID_100">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">Pseudobulbar signs result from injury to an upper motor neuron lesion to the corticobulbar pathways in the pyramidal tract. Patients have difficulty chewing, swallowing and demonstrate slurred speech (often initial presentation) as well as abnormal behavioral symptoms such as inappropriate emotional outbursts of uncontrolled laughter or weeping etc. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet unavailable round" title="Clinical test">C</span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet unavailable" title="GeneReviews">G</span><span class="chiclet unavailable" title="ClinVar">V</span></span><span class="TLline">Pseudobulbar signs</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/867443" ref="tree=MeSH" title="MedGen record for Phenotypic abnormality">Phenotypic abnormality</a></span><ul><li><span class="TLline"><a href="/medgen/871309" ref="tree=MeSH" title="MedGen record for Abnormality of prenatal development or birth">Abnormality of prenatal development or birth</a></span><ul><li><span class="TLline"><a href="/medgen/1254" ref="tree=MeSH" title="MedGen record for Fetal anomaly">Fetal anomaly</a></span><ul><li><span class="TLline"><a href="/medgen/474891" ref="tree=MeSH" title="MedGen record for Congenital Systemic Disorder">Congenital Systemic Disorder</a></span><ul><li><span class="TLline"><a href="/medgen/105425" ref="tree=MeSH" title="MedGen record for Abnormality of the nervous system">Abnormality of the nervous system</a></span><ul><li><span class="TLline"><a href="/medgen/868417" ref="tree=MeSH" title="MedGen record for Abnormal nervous system physiology">Abnormal nervous system physiology</a></span><ul><li><span class="matched_ds">Pseudobulbar signs</span><ul><li><span class="TLline"><a href="/medgen/747359" ref="tree=MeSH" title="MedGen record for Pseudobulbar affect">Pseudobulbar affect</a></span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_112">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat">
<div class="divPopper rprt" id="rdis_325051"><div><strong>CARASIL syndrome</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>325051</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1838577</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">HTRA1 disorder is a phenotypic spectrum in which some individuals have few to no symptoms and others manifest with the more severe CARASIL (cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy) phenotype. Those who have a heterozygous HTRA1 pathogenic variant may have mild neurologic findings (sometimes identified only on neuroimaging) or mild-to-moderate neurologic signs and symptoms of CARASIL. In this chapter, the term "classic CARASIL" refers to the more severe phenotype associated with biallelic pathogenic variants, and "HTRA1 cerebral small vessel disease" (HTRA1-CSVD) refers to the milder phenotype associated with a heterozygous HTRA1 pathogenic variant. Classic CARASIL is characterized by early-onset changes in the deep white matter of the brain observed on MRI, and associated neurologic findings. The most frequent initial symptom is gait disturbance from spasticity beginning between ages 20 and 40 years. Forty-four percent of affected individuals have stroke-like episodes before age 40 years. Mood changes (apathy and irritability), pseudobulbar palsy, and cognitive dysfunction begin between ages 20 and 50 years. The disease progresses slowly following the onset of neurologic symptoms. Scalp alopecia and acute mid- to lower-back pain (lumbago) before age 30 years are characteristic. The most frequent initial symptom in individuals with HTRA1-CSVD is slowly progressive gait disturbance after age 40 years, which may be followed by the development of mood changes and cognitive dysfunction. A majority of affected individuals have a stroke-like episode after age 40 years. Spondylosis and alopecia are seen in a minority of individuals with HTRA1-CSVD.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/325051">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_347234"><div><strong>Angiomatosis, diffuse Corticomeningeal, of Divry and van Bogaert</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>347234</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1859783</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/347234">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_442869"><div><strong>Hereditary spastic paraplegia 50</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>442869</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C2752008</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">AP-4-associated hereditary spastic paraplegia (AP-4-HSP) is a childhood-onset and complex form of hereditary spastic paraplegia. Spastic paraparesis is a universal feature in affected individuals. Manifestations typically begin before age one year, with infants presenting with hypotonia, mild postnatal microcephaly, and delayed developmental milestones. Seizures are common in early childhood, often starting as prolonged febrile seizures. As the disease progresses, older children have intellectual disability that is usually moderate to severe; most affected individuals communicate nonverbally. Neurobehavioral/psychiatric manifestations (e.g., impulsivity, hyperactivity, and inattention) are common. Hypotonia transitions to progressive lower-extremity weakness and spasticity, accompanied by pyramidal signs such as plantar extension, ankle clonus, and hyperreflexia. Although some children achieve independent ambulation, most eventually lose this ability and rely on mobility aids or wheelchairs. In adolescence or early adulthood, spasticity may affect the upper extremities in some individuals but is generally less severe and not significantly disabling. Complications in some individuals include contractures, foot deformities, and bladder and bowel dysfunction. Dysphagia may emerge in advanced stages of the disease.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/442869">Condition Record</a></div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_347234" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Angiomatosis, diffuse Corticomeningeal, of Divry and van Bogaert</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_325051" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">CARASIL syndrome</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_442869" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hereditary spastic paraplegia 50</a></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/29297657">Pharmacotherapeutic management of pseudobulbar affect.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chen JJ</span><br />
<span class="medgenPMjournal">Am J Manag Care</span>
2017 Dec;23(18 Suppl):S345-S350.
<span class="bold">PMID: </span><a href="/pubmed/29297657" target="_blank">29297657</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24704895">Dextromethorphan/quinidine for the treatment of pseudobulbar affect.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Patatanian E,
Casselman J</span><br />
<span class="medgenPMjournal">Consult Pharm</span>
2014 Apr;29(4):264-9.
doi: 10.4140/TCP.n.2014.264.
<span class="bold">PMID: </span><a href="/pubmed/24704895" target="_blank">24704895</a></div>
<div class="nl"><a target="_blank" href="/pubmed/15911831">Treatment of pseudobulbar affect in ALS: October 26 highlight and commentary.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hingorani VN,
Kittrelle JP</span><br />
<span class="medgenPMjournal">Neurology</span>
2005 May 24;64(10):1821; author reply 1821.
doi: 10.1212/wnl.64.10.1821.
<span class="bold">PMID: </span><a href="/pubmed/15911831" target="_blank">15911831</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(pseudobulbar%20signs)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (21)</a></div></div>
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<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/30877727">Hereditary causes of ischemic cerebral small vessel disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Paraskevas GP</span><br />
<span class="medgenPMjournal">Hell J Nucl Med</span>
2019 Jan-Apr;22 Suppl:95-101.
<span class="bold">PMID: </span><a href="/pubmed/30877727" target="_blank">30877727</a></div>
<div class="nl"><a target="_blank" href="/pubmed/26683594">Clinical Features and Related Factors of Poststroke Pathological Laughing and Crying: A Case-Control Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Wang G,
Teng F,
Chen Y,
Liu Y,
Li Y,
Cai L,
Zhang X,
Nie Z,
Jin L</span><br />
<span class="medgenPMjournal">J Stroke Cerebrovasc Dis</span>
2016 Mar;25(3):556-64.
Epub 2015 Dec 9
doi: 10.1016/j.jstrokecerebrovasdis.2015.11.003.
<span class="bold">PMID: </span><a href="/pubmed/26683594" target="_blank">26683594</a></div>
<div class="nl"><a target="_blank" href="/pubmed/18991192">Congenital bilateral perisylvian syndrome: familial occurrence, clinical and psycholinguistic aspects correlated with MRI.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Brandão-Almeida IL,
Hage SR,
Oliveira EP,
Guimarães CA,
Teixeira KC,
Abramides DV,
Montenegro MA,
Santos NF,
Cendes F,
Lopes-Cendes I,
Guerreiro MM</span><br />
<span class="medgenPMjournal">Neuropediatrics</span>
2008 Jun;39(3):139-45.
Epub 2008 Nov 7
doi: 10.1055/s-0028-1085462.
<span class="bold">PMID: </span><a href="/pubmed/18991192" target="_blank">18991192</a></div>
<div class="nl"><a target="_blank" href="/pubmed/9018034">Autosomal dominant late-onset leukoencephalopathy. Clinical report of a new Italian family.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Quattrocolo G,
Leombruni S,
Vaula G,
Bergui M,
Riva A,
Bradac GB,
Bergamini L</span><br />
<span class="medgenPMjournal">Eur Neurol</span>
1997;37(1):53-61.
doi: 10.1159/000117406.
<span class="bold">PMID: </span><a href="/pubmed/9018034" target="_blank">9018034</a></div>
<div class="nl"><a target="_blank" href="/pubmed/3629649">White matter lucencies on computed tomography, subacute arteriosclerotic encephalopathy (Binswanger's disease), and blood pressure.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">McQuinn BA,
O'Leary DH</span><br />
<span class="medgenPMjournal">Stroke</span>
1987 Sep-Oct;18(5):900-5.
doi: 10.1161/01.str.18.5.900.
<span class="bold">PMID: </span><a href="/pubmed/3629649" target="_blank">3629649</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Pseudobulbar%20signs%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (12)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/38396190">Pseudotumoral neuro-behcet's disease: case series and review of literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hadj Taieb MA,
Slimane H,
Mhiri M,
Ben Dhia R,
Daoussi N,
Frih-Ayed M</span><br />
<span class="medgenPMjournal">Acta Neurol Belg</span>
2024 Apr;124(2):431-445.
Epub 2024 Feb 23
doi: 10.1007/s13760-024-02477-1.
<span class="bold">PMID: </span><a href="/pubmed/38396190" target="_blank">38396190</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19196875">Bilateral operculum syndrome in childhood.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Szabó N,
Hegyi A,
Boda M,
Páncsics M,
Pap C,
Zágonyi K,
Romhányi E,
Túri S,
Sztriha L</span><br />
<span class="medgenPMjournal">J Child Neurol</span>
2009 May;24(5):544-50.
Epub 2009 Feb 5
doi: 10.1177/0883073808327841.
<span class="bold">PMID: </span><a href="/pubmed/19196875" target="_blank">19196875</a></div>
<div class="nl"><a target="_blank" href="/pubmed/18991192">Congenital bilateral perisylvian syndrome: familial occurrence, clinical and psycholinguistic aspects correlated with MRI.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Brandão-Almeida IL,
Hage SR,
Oliveira EP,
Guimarães CA,
Teixeira KC,
Abramides DV,
Montenegro MA,
Santos NF,
Cendes F,
Lopes-Cendes I,
Guerreiro MM</span><br />
<span class="medgenPMjournal">Neuropediatrics</span>
2008 Jun;39(3):139-45.
Epub 2008 Nov 7
doi: 10.1055/s-0028-1085462.
<span class="bold">PMID: </span><a href="/pubmed/18991192" target="_blank">18991192</a></div>
<div class="nl"><a target="_blank" href="/pubmed/9018034">Autosomal dominant late-onset leukoencephalopathy. Clinical report of a new Italian family.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Quattrocolo G,
Leombruni S,
Vaula G,
Bergui M,
Riva A,
Bradac GB,
Bergamini L</span><br />
<span class="medgenPMjournal">Eur Neurol</span>
1997;37(1):53-61.
doi: 10.1159/000117406.
<span class="bold">PMID: </span><a href="/pubmed/9018034" target="_blank">9018034</a></div>
<div class="nl"><a target="_blank" href="/pubmed/7732792">A long surviving case of amyotrophic lateral sclerosis with atrophy of the frontal lobe: a comparison with the Mitsuyama type.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kishikawa M,
Nakamura T,
Iseki M,
Ikeda T,
Shimokawa I,
Tsujihata M,
Nagasato K</span><br />
<span class="medgenPMjournal">Acta Neuropathol</span>
1995;89(2):189-93.
doi: 10.1007/BF00296365.
<span class="bold">PMID: </span><a href="/pubmed/7732792" target="_blank">7732792</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Pseudobulbar%20signs%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (19)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/38396190">Pseudotumoral neuro-behcet's disease: case series and review of literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hadj Taieb MA,
Slimane H,
Mhiri M,
Ben Dhia R,
Daoussi N,
Frih-Ayed M</span><br />
<span class="medgenPMjournal">Acta Neurol Belg</span>
2024 Apr;124(2):431-445.
Epub 2024 Feb 23
doi: 10.1007/s13760-024-02477-1.
<span class="bold">PMID: </span><a href="/pubmed/38396190" target="_blank">38396190</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30332362">Case 259: Primary Central Nervous System Lymphomatoid Granulomatosis Mimicking Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tian D,
Zhu X,
Xue R,
Zhao P,
Yao Y</span><br />
<span class="medgenPMjournal">Radiology</span>
2018 Nov;289(2):572-577.
doi: 10.1148/radiol.2018161475.
<span class="bold">PMID: </span><a href="/pubmed/30332362" target="_blank">30332362</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24656241">Epileptic seizure as a precipitating factor of vascular progressive supranuclear palsy: a case report.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Lanza G,
Papotto M,
Pennisi G,
Bella R,
Ferri R</span><br />
<span class="medgenPMjournal">J Stroke Cerebrovasc Dis</span>
2014 May-Jun;23(5):e379-81.
Epub 2014 Mar 19
doi: 10.1016/j.jstrokecerebrovasdis.2013.12.043.
<span class="bold">PMID: </span><a href="/pubmed/24656241" target="_blank">24656241</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23460617">Cassava food toxins, konzo disease, and neurodegeneration in sub-Sahara Africans.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tshala-Katumbay D,
Mumba N,
Okitundu L,
Kazadi K,
Banea M,
Tylleskär T,
Boivin M,
Muyembe-Tamfum JJ</span><br />
<span class="medgenPMjournal">Neurology</span>
2013 Mar 5;80(10):949-51.
doi: 10.1212/WNL.0b013e3182840b81.
<span class="bold">PMID: </span><a href="/pubmed/23460617" target="_blank">23460617</a><a href="/pmc/articles/PMC3653209" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/2360962">A distinctive neurologic syndrome after induced profound hypothermia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Wical BS,
Tomasi LG</span><br />
<span class="medgenPMjournal">Pediatr Neurol</span>
1990 May-Jun;6(3):202-5.
doi: 10.1016/0887-8994(90)90064-8.
<span class="bold">PMID: </span><a href="/pubmed/2360962" target="_blank">2360962</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Pseudobulbar%20signs%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (5)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/26683594">Clinical Features and Related Factors of Poststroke Pathological Laughing and Crying: A Case-Control Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Wang G,
Teng F,
Chen Y,
Liu Y,
Li Y,
Cai L,
Zhang X,
Nie Z,
Jin L</span><br />
<span class="medgenPMjournal">J Stroke Cerebrovasc Dis</span>
2016 Mar;25(3):556-64.
Epub 2015 Dec 9
doi: 10.1016/j.jstrokecerebrovasdis.2015.11.003.
<span class="bold">PMID: </span><a href="/pubmed/26683594" target="_blank">26683594</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23460617">Cassava food toxins, konzo disease, and neurodegeneration in sub-Sahara Africans.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tshala-Katumbay D,
Mumba N,
Okitundu L,
Kazadi K,
Banea M,
Tylleskär T,
Boivin M,
Muyembe-Tamfum JJ</span><br />
<span class="medgenPMjournal">Neurology</span>
2013 Mar 5;80(10):949-51.
doi: 10.1212/WNL.0b013e3182840b81.
<span class="bold">PMID: </span><a href="/pubmed/23460617" target="_blank">23460617</a><a href="/pmc/articles/PMC3653209" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/10561525">Neuro-Behcet's disease in Iraq: a study of 40 patients.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al-Fahad SA,
Al-Araji AH</span><br />
<span class="medgenPMjournal">J Neurol Sci</span>
1999 Nov 30;170(2):105-11.
doi: 10.1016/s0022-510x(99)00165-3.
<span class="bold">PMID: </span><a href="/pubmed/10561525" target="_blank">10561525</a></div>
<div class="nl"><a target="_blank" href="/pubmed/10448799">Clinical heterogeneity of autosomal recessive spastic paraplegias: analysis of 106 patients in 46 families.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Coutinho P,
Barros J,
Zemmouri R,
Guimarães J,
Alves C,
Chorão R,
Lourenço E,
Ribeiro P,
Loureiro JL,
Santos JV,
Hamri A,
Paternotte C,
Hazan J,
Silva MC,
Prud'homme JF,
Grid D</span><br />
<span class="medgenPMjournal">Arch Neurol</span>
1999 Aug;56(8):943-9.
doi: 10.1001/archneur.56.8.943.
<span class="bold">PMID: </span><a href="/pubmed/10448799" target="_blank">10448799</a></div>
<div class="nl"><a target="_blank" href="/pubmed/9018034">Autosomal dominant late-onset leukoencephalopathy. Clinical report of a new Italian family.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Quattrocolo G,
Leombruni S,
Vaula G,
Bergui M,
Riva A,
Bradac GB,
Bergamini L</span><br />
<span class="medgenPMjournal">Eur Neurol</span>
1997;37(1):53-61.
doi: 10.1159/000117406.
<span class="bold">PMID: </span><a href="/pubmed/9018034" target="_blank">9018034</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Pseudobulbar%20signs%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (11)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/30332362">Case 259: Primary Central Nervous System Lymphomatoid Granulomatosis Mimicking Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tian D,
Zhu X,
Xue R,
Zhao P,
Yao Y</span><br />
<span class="medgenPMjournal">Radiology</span>
2018 Nov;289(2):572-577.
doi: 10.1148/radiol.2018161475.
<span class="bold">PMID: </span><a href="/pubmed/30332362" target="_blank">30332362</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23743246">Familial adult-onset Alexander disease with a novel mutation (D78N) in the glial fibrillary acidic protein gene with unusual bilateral basal ganglia involvement.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Wada Y,
Yanagihara C,
Nishimura Y,
Namekawa M</span><br />
<span class="medgenPMjournal">J Neurol Sci</span>
2013 Aug 15;331(1-2):161-4.
Epub 2013 Jun 4
doi: 10.1016/j.jns.2013.05.019.
<span class="bold">PMID: </span><a href="/pubmed/23743246" target="_blank">23743246</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22337940">Pseudotumoural presentation of neuro-Behcet's disease: case series and review of literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Noel N,
Hutié M,
Wechsler B,
Vignes S,
Le Thi Huong-Boutin D,
Amoura Z,
Dormont D,
Delcey V,
Polivka M,
Cacoub P,
Saadoun D</span><br />
<span class="medgenPMjournal">Rheumatology (Oxford)</span>
2012 Jul;51(7):1216-25.
Epub 2012 Feb 15
doi: 10.1093/rheumatology/ker449.
<span class="bold">PMID: </span><a href="/pubmed/22337940" target="_blank">22337940</a></div>
<div class="nl"><a target="_blank" href="/pubmed/9100671">Clinical and neuropathological study of six patients with spastic paraparesis associated with HTLV-I: an axomyelinic degeneration of the central nervous system.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Cartier LM,
Cea JG,
Vergara C,
Araya F,
Born P</span><br />
<span class="medgenPMjournal">J Neuropathol Exp Neurol</span>
1997 Apr;56(4):403-13.
doi: 10.1097/00005072-199704000-00009.
<span class="bold">PMID: </span><a href="/pubmed/9100671" target="_blank">9100671</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Pseudobulbar%20signs%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (4)</a></div></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_resources">Clinical resources</h1><a sid="119" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul><li><a href="https://clinicaltrials.gov/search?cond=Pseudobulbar%20signs" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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