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Amyotrophic Lateral Sclerosis (ALS) Message Board

Amyotrophic Lateral Sclerosis (ALS) Board Index

Re: Bulbar ALS
Sep 1, 2004
Difficulties in swallowing or speaking as initial symptoms is termed Bulbar-Onset ALS, referring to the bulbar region, an area in the brain stem, being affected; Bulbar-onset ALS is seen in about 25% of all cases.

Bulbar then progresses to other parts of body just like limb onset can do.

Bulbar starts in speech or swallowing
Limb onset obversely starts in limbs legs & arms

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