Multidisciplinary Management of Bulbar Motor Neuron Disease in a Geriatric Patient: A Case Study

Abstract

Bulbar motor neuron disease (MND), a variant of amyotrophic lateral sclerosis (ALS), predominantly targets motor neurons in the brainstem, resulting in complex clinical manifestations such as dysphagia, dysarthria, and limb weakness. This report outlines the diagnostic and therapeutic journey of a 61-year-old male presenting with progressive aphasia, left-sided weakness, and swallowing difficulties. A multidisciplinary approach was employed, incorporating speech therapy, physiotherapy, dietary modifications, and neurophysiological interventions to enhance swallowing safety and communication. Over a 30-day observation period, the patient demonstrated measurable improvements in dysphagia severity, speech clarity, and activities of daily living (ADLs). This case underscores the necessity of tailored, interdisciplinary strategies to optimize quality of life in bulbar MND patients.