{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:30:50Z","timestamp":1787776250620,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>A patient with enhancing bulbar palsy, a type of efferent neuron disease that causes hypertrophy and twitching of the tongue\u2019s musculature, dysphagia, dysarthria, and an excessive buildup of secretions, is described. Enhancing bulbar palsy is a degenerative disorder of the efferent nuclei in the medulla. The patient may consult a dentist at first. Clinicians must possess knowledge regarding the telltale signs and symptoms of this terminal illness to promptly refer patients for neurologic evaluation and initiate appropriate symptomatic treatments.<\/jats:p>","DOI":"10.4103\/jpbs.jpbs_1232_24","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T14:00:12Z","timestamp":1739628012000},"page":"S971-S974","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Progressive Bulbar Palsy (PBP) or Bulbar Onset MND: \u201cA Case Report\u201d"],"prefix":"10.4103","volume":"17","author":[{"given":"Sagar S.","family":"Bhovare","sequence":"first","affiliation":[{"name":"Nursing Tutor of Shaliniai Meghe College of Nursing Salod (H) Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhataribano S.","family":"Sayyad","sequence":"additional","affiliation":[{"name":"Akhataribano Sayyad Principal Shaliniai 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