A bulbar palsy is a lower motor neuron lesion of cranial nerves IX, X and XII. A pseudobulbar palsy is an upper motor neuron lesion of cranial nerves IX, X and XII.
Blepharospasm is uncontrollable blinking as a result of repeated involuntary orbicularis oculi contraction. It is always bilateral, but may briefly be unilateral at onset. It subsides when asleep.
In emergency medicine and critical care it is essential to be able to recognise skin signs that signify serious disease, and be able to consider the likely causes.