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Living with Progressive bulbar palsy

A condition that slowly weakens the muscles used for speaking, chewing, and swallowing.

Understanding Progressive bulbar palsy

Progressive bulbar palsy is a motor neuron disease that causes growing weakness in muscles controlled by nerves in the lower brain stem.

Motor neurons are nerve cells that control muscles. In this condition, the muscles of the face, tongue, mouth, and throat become weaker over time. In adults, weakness often starts in these muscles and may later involve motor neurons throughout the nervous system. A form called Fazio-Londe syndrome is inherited and occurs in children and young adults.

Signs & symptoms

Symptoms vary from person to person. GARD describes these features:

  • Slurred or hard-to-understand speech (dysarthria)
  • Trouble swallowing (dysphagia)
  • Weak face muscles
  • Weak tongue muscles
  • Small muscle twitches in the tongue and face (fasciculations)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    ALS Association may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: ALS Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with ALS Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What can help with speech and swallowing as the muscles weaken?
Could my child's or my condition be the inherited form, Fazio-Londe syndrome?
Which specialists should be on our care team?

Quick facts

GARD doesn't describe a cause for this condition yet. It notes that Fazio-Londe syndrome, a form seen in children and young adults, is inherited.

Also known as: bulbar palsy; bulbar paralysis; pbp - progressive bulbar palsy

Patient organizations

Source: NIH GARD · Progressive bulbar palsyGARD ID 10928 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Progressive bulbar palsy.

Explore the Progressive bulbar palsy blog

Explore research for Progressive bulbar palsy

Explore actively recruiting Progressive bulbar palsy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Progressive bulbar palsy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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