Ann Rehabil Med.  2016 Jun;40(3):540-544. 10.5535/arm.2016.40.3.540.

Bilateral Anterior Opercular Syndrome With Partial Kluver-Bucy Syndrome in a Stroke Patient: A Case Report

• Cho AR
• Lim YH
• Chung SH
• Choi EH
• Lim JY

• KMID: 2327618
• DOI: http://doi.org/10.5535/arm.2016.40.3.540

Abstract

Bilateral anterior opercular syndrome and partial Kluver-Bucy syndrome are associated with bilateral middle cerebral artery lesions. The combination of these two syndromes has only been reported in a child with limbic encephalitis. In this case, a 44-year-old woman with bilateral middle cerebral artery infarction, which occurred 2 years prior, could walk independently. However, she showed automatic-voluntary dissociation and anarthria with preserved writing skills. She also presented hypersexuality, hypermetamorphosis, and memory disturbances. Here, we report a case of an adult stroke patient who suffered from bilateral anterior opercular syndrome accompanied by partial Kluver-Bucy syndrome.

Keyword

Bilateral anterior opercular syndrome; Kluver-Bucy syndrome; Stroke

MeSH Terms

Adult
Child
Female
Humans
Infarction, Middle Cerebral Artery
Kluver-Bucy Syndrome*
Limbic Encephalitis
Memory
Middle Cerebral Artery
Stroke*
Writing

Figure

• 

  Fig. 1 Brain diffusion magnetic resonance imaging with b=0 (left) and b=1,000 (right) showed subacute right middle cerebral artery infarction (left) and acute left middle cerebral artery infarction (right), including the bilateral anterior operculum.

• 

  Fig. 2 On the administration day, she tried to open her mouth and she could not (A). After 4 weeks of training, the patient could brush her teeth by herself (B).

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  Fig. 3 The patient was trained in opening her mouth and semisolid swallowing in front of the mirror.

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