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bulbar |
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| People with bulbar involvement develop weakness and wasting of the muscles supplying the face and throat, and consequently develop problems with speech and swallowing. Acute neuromuscular respiratory failure may develop rapidly, particularly in patients with prominent bulbar signs; prolonged ventilatory support may be required (22,30,34). Primary neurologic or neuromuscular pathology occasionally results in OSA; such pathologies include Chiari malformation, syringomyelobulbia, cerebral palsy, myotonic dystrophy, Shy-Drager syndrome, acquired nonprogressive dysautonomia, olivopontocerebellar degeneration, spinal cord injury, and bulbar stroke. |
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