Gag reflex - increased or normal
Tongue - spastic. No fasciculations
"it cannot be protruded, lies on the floor of the mouth and is small and tight".
Jaw jerk - increased
Speech - spastic: "a monotonous, slurred, high-pitched, 'Donald Duck' dysarthria" that "sounds as if the patient is trying to squeeze out words from tight lips".
Strangled, effortful voice. la la la is forced, slow, clumsy
Emotions - labile
Other - bilateral upper motor neuron (long tract) limb signs.