J Korean Neurol Assoc.
2008 Nov;26(4):357-360.
Dissociated Automatic-Voluntary Lower Cranial Nerve Palsies and Anarthria After Left Corona Radiata Infarction: Foix-Chavany-Marie Sydrome
- Affiliations
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- 1Department of Neurology, Ewha Womans University School of medicine,Ewha Womans University Mokdong Hospital, Cognitive and Language Disorder clinic, Korea. jjeong@ewha.ac.kr
Abstract
- Foix-Chavany-Marie Syndrome (FCMS) is characterized by anarthria and bilateral facio-pharyngo-glosso-masticatory paralysis with an automatic-voluntary dissociation, which usually develops in bilateral opercular lesions. We present a case of FCMS caused by unilateral subcortical lesion. A 54-year-old man was admitted due to acute right hemiparesis with anarthria. He had voluntary facial paresis but automatic-involuntary facial movements were preserved. MRI showed an acute left corona radiata infarction and PET revealed decreased glucose metabolism in left basal ganglia and fronto-parietal lobe.
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