J Korean Neurol Assoc.
2000 Jul;18(4):450-453.
A Case of Bilateral Anterior Opercular Syndrome: Foix-Chavany-Marie Syndrome
- Affiliations
-
- 1Department of Neurology, Seoul Municipal Boramae Hospital.
- 2Department of Radiology, Seoul Municipal Boramae Hospital.
- 3Department of Neurology, College of Medicine, Seoul National University.
Abstract
- Bilateral opercular syndrome or Foix-Chavany-Marie syndrome (FCMS) is characterized by facio-pharyngo-glosso-masticatory diplegia with an automatic-voluntary movement dissociation, which is usually caused by bilateral fron-toparietal opercular lesions. A 52 year-old man suddenly developed left hemiplegia and also presented with anarthria, dysphagia, difficulty in jaw opening and mastication. However, involuntary swallowing and slight control of jaw move-ments were partly preserved. His gag reflex was decreased and emotional incontinence was absent. Brain magnetic res-onance (MR) imaging revealed high signal lesions in the right middle cerebral artery territory and left anterior opercu-lum. Severe stenosis of the right middle cerebral artery was observed on a MR angiogram. Rehabilitation training by cueing has improved his ability to open the mouth. To our knowledge, this is the first report of FCMS in Korea, and a cautious differential diagnosis of pseudobulbar palsy or buccofacial apraxia may be crucial.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Dissociated Automatic-Voluntary Lower Cranial Nerve Palsies and Anarthria After Left Corona Radiata Infarction: Foix-Chavany-Marie Sydrome
- Bilateral Anterior Opercular Syndrome With Partial Kluver-Bucy Syndrome in a Stroke Patient: A Case Report
- Foix-Alajouanine Syndrome: Case Report
- A Case of Charcot-Marie-Tooth Disease type 1A with Guillain-Barre Syndrome
- A Case of Anterior Lenticonus in Alport's Syndrome
