Table 1.
Patient | Sex | Age at onset |
Duration of symptoms at final follow-up (years) |
Non-speech bulbar neurological findings |
Non-speech non- bulbar neurological findings |
EMG findings |
---|---|---|---|---|---|---|
1 | F | 87 | 2 | lip and tongue weakness, pseudobulbar affect, mild periorbital weakness, occasional dysphagia | normal | |
2 | M | 69 | 5 | reduced range, strength, and speed of lip and tongue movements, mild right facial droop, minor dysphagia | right UMN pattern weakness, Hoffman sign on right | normal |
3 | F | 62 | 4 | mild tongue weakness and slowness, subtle nonverbal oral apraxia, pseudobulbar affect | bilateral (right > left) upper extremity spasticity with slow AMRs | normal |
4 | M | 57 | 1 | pseudobulbar affect, drooling, dysphagia | normal | |
5 | F | 79 | 2 | right lower face and tongue weakness, dysphagia | UMN limb weakness | normal |
6 | F | 46 | 3.5 | tongue weakness, brisk jaw jerk | normal | |
7 | F | 79 | 3 | drooling, dysphagia, mild lip weakness | mild left upper extremity spasticity with slow AMRs | normal |
8 | F | 63 | 1 | mild lower facial weakness | normal | |
9 | F | 74 | 3 | dysphagia, drooling, facial and tongue weakness, neck flexor weakness | spasticity left>right leg | normal |
10 | M | 58 | 7 | equivocal nonverbal oral apraxia | spastic paraparesis and left upper extremity spasticity, left Babinski; mild postural/kinetic tremor | evidence for longstanding motor neuronopathy or neuropathy without fasciculation or fibrillation potential |
11 | F | 60 | 3 | dysphagia, pseudobulbar affect, nonverbal oral apraxia | mildly brisk, symmetric reflexes and decreased limb AMRs | normal |
12 | M | 46 | 1 | dysphagia, tongue weakness and slowness, bifacial weakness | left side UMN type weakness, left Babinski | normal |
13 | F | 72 | 1 | dysphagia, pseudobulbar affect, mild tongue and lower facial weakness | brisk (non-pathologic) reflexes, mild slow limb AMRs | normal |
14 | F | 66 | 5 | dysphagia, drooling, minimal jaw opening, mild left facial weakness | left upper extremity spasticity with slow AMRs; 2–3 beat left ankle clonus; | normal |
15 | M | 63 | 1 | dysphagia, pseudobulbar affect, tongue and facial weakness | mild left upper extremity UMN weakness | normal |
16 | M | 48 | 2 | minor dysphagia, drooling, brisk jaw, jerk, jaw clonus, pseudobulbar affect, tongue weakness | normal | |
17 | F | 56 | 1 | minor dysphagia, tongue and lip weakness, positive suck and snout reflexes | normal | |
18 | M | 71 | 2 | pseudobulbar affect, nonverbal oral apraxia | normal | |
19 | F | 50 | 2 | dysphagia, pseudobulbar affect, tongue weakness, brisk jaw jerk reflex | mild hyperreflexia in upper and lower extremities (not pathologic) | normal |
20 | F | 63 | 2 | dysphagia, pseudobulbar affect, jaw clonus, reduced tongue strength and speed | left upper and lower extremity spasticity with slow AMRs; spastic/apraxic gait | normal |
21 | F | 66 | 1 | dysphagia, subtle jaw clonus, mild tongue weakness, brisk jaw jerk reflex | mild hyperreflexia in upper and lower extremities (not pathologic) | normal |
22 | M | 56 | 6 | drooling, minor dysphagia, pseudobulbar affect, jaw clonus | left UMN pattern weakness, bilateral limb spasticity (left > right), spastic gait circumducting left leg; subtle left Babinski | n/a |
23 | M | 62 | 1.5 | dysphagia, pseudobulbar affect, facial, tongue, and velar weakness | frontal release signs, hyper-reflexia, reduced right arm swing, unsustained clonus at both ankles | n/a |
24 | F | 55 | 1 | minor dysphagia, jaw and tongue weakness | normal | |
25 | F | 70 | 1 | dysphagia, pseudobulbar affect, tongue and palatal weakness | normal |
n/a: not administered