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What is Bulbar ALS?

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What is Bulbar ALS?

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Bulbar refers to the brain stem where motor neurons are concentrated. Bulbar ALS is the type of ALS where speaking and swallowing difficulties are the first symptoms. Many patients with bulbar ALS are unable to speak or eat but are able to walk and write. Bulbar-onset ALS patients generally have a faster disease progression than do limb-onset patients. Limb-onset patients eventually develop bulbar symptoms as their disease progresses.

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