I have PPMS and; while I have no brain lesions and no cognitive issues (for which I am very grateful); I DO have Pseudo Bulbar Affect (PBA) something fierce. I burst out crying at the drop of a hat and sometimes laugh so hard at the dumbest thing that I literally can't breathe! I used to be able to tell a joke, but now I can get out only a few words before I start laughing so much I can't get to the punchline. While this symptom is not incredibly serious like pain or memory loss, it really is embarrassing if anyone is around to see/hear me. I tried Neudextra, but it made me want to jump out of my skin, so I had to stop taking it.
I guess I'm not posting because there is an answer to this thread; but just to get it off my chest. Thanks for listening.