Unilateral opercular infarction presenting with Foix-Chavany-Marie syndrome

Francisca Sá; Inês Menezes Cordeiro; Susana Mestre; Hipólito Nzwalo

doi:10.1136/bcr-2014-206439

Unilateral opercular infarction presenting with Foix-Chavany-Marie syndrome

BMJ Case Rep. 2014 Nov 26:2014:bcr2014206439. doi: 10.1136/bcr-2014-206439.

Authors

Francisca Sá¹, Inês Menezes Cordeiro¹, Susana Mestre², Hipólito Nzwalo¹

Affiliations

¹ Stroke Unit, Centro Hospitalar do Algarve, Portugal Neurology Department, Centro Hospitalar do Algarve, Portugal.
² Stroke Unit, Centro Hospitalar do Algarve, Portugal Department of Physical Medicine and Rehabilitation, Centro Hospitalar do Algarve, Portugal.

Abstract

Foix-Chavany-Marie syndrome (FCMS) also known as bilateral anterior opercular syndrome is a form of suprabulbar palsy defined by the presence of bilateral voluntary facial, pharyngeal, lingual and masticatory paralysis with automatic-voluntary movement dissociation. We report an extremely rare case of FCMS in a patient with a unilateral left opercular lesion associated with a chronic asymptomatic contralateral cerebellar lesion. Despite intensive rehabilitation, little improvement was noticed at hospital discharge.

2014 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Aged
Cerebral Infarction / complications
Cerebral Infarction / diagnosis*
Deglutition Disorders / diagnosis
Deglutition Disorders / etiology*
Dysarthria / diagnosis
Dysarthria / etiology*
Facial Paralysis / diagnosis
Facial Paralysis / etiology*
Humans
Male

Supplementary concepts

Foix Chavany Marie syndrome