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Case Reports
. 1984 Mar;5(1):77-83.
doi: 10.1007/BF02043975.

Speech suppression without aphasia after bilateral perisylvian softenings (bilateral rolandic operculum damage)

G Villa, C Caltagirone
Case Reports

Speech suppression without aphasia after bilateral perisylvian softenings (bilateral rolandic operculum damage)

G Villa et al. Ital J Neurol Sci. 1984 Mar.

Abstract

The authors describe a patient who suffered two successive, right and left, strokes that caused bilateral rolandic operculum damage. The clinical picture was characterized by selective impairment of volitional facio-pharyngo-glosso-masticatory movements with sparing of automatic and reflex motor activity (Foix-Chavany-Marie syndrome). Though completely speechless, the patient was not aphasic. This dissociation is discussed in the light of the peculiar localization of lesions evidenced by CT-scan.

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