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. 2013:2013:513572.
doi: 10.1155/2013/513572. Epub 2013 Feb 18.

Ischemic bilateral opercular syndrome

Aysel Milanlioglu  1 , Mehmet Nuri Aydın, Alper Gökgül, Mehmet Hamamcı, Mehmet Atilla Erkuzu, Temel Tombul
Affiliations

Ischemic bilateral opercular syndrome

Aysel Milanlioglu et al. Case Rep Med. 2013.

Abstract

Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the present case, an 81-year-old male presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.

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Figures

Figure 1
Figure 1
Diffusion-weighted magnetic resonance imaging demonstrates right frontal opercular restricted diffusion which is diagnosed as acute opercular infarct (R: Right, L: Left).
Figure 2
Figure 2
Magnetic resonance imaging sequences demonstrate bilateral inferior frontal gyrus chronic infarct (R: Right, L: Left).
See this image and copyright information in PMC

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