11. Accordingly, AOB mitral cells show clearly different firing patterns compared to other bulbar projection neurons. 12. Deep tendon reflexes are usually decreased or absent, and ophthalmoplegia and bulbar palsy can occur. 13. The bulbar region is a white matter pathway that connects the cerebral cortex to the brain stem. 14. It typically involves the bulbar conjunctivae, is not accompanied by suppuration, and is not painful. 15. In bulbar -onset ALS, initial symptoms will mainly be of difficulty speaking clearly or swallowing. 16. The related diseases, which are also inherited, include spinocellebellar ataxia and spinal and bulbar muscular atrophy. 17. The related diseases, which are also inherited, include spinocerebellar ataxia and spinal and bulbar muscular atrophy. 18. The patient developed Progressive Bulbar Palsy, became dependent on a respirator, and had two episodes of cardiac arrest. 19. Polyglutamine repeat expansion in the AR is linked to spinal and bulbar muscular atrophy ( Kennedy's disease ). 20. His name is lent to the eponymous " Kozhevnikov's epilepsy ", also known as asthenic bulbar paralysis.