Bilateral anterior opercular syndrome
DOI:
https://doi.org/10.18203/2320-6012.ijrms20174008Keywords:
Bilateral labioglossopharyngeal paresis, Glossopharyngeal diplegia, Opercular syndromeAbstract
Opercular syndrome, also known as Foix-Chavany-Marie syndrome is a rare disorder due to bilateral lesions of opercular cortex surrounding the insula. It is characterized by paralysis of facial, lingual, pharyngeal, and masticatory voluntary muscles with preservation of autonomic, involuntary, and reflexive functions. In the present case, a 71-years old female presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.
Metrics
References
Magnus A. Fall from the elimination of the volatility of the Will to some Hinnerves. Arch Anat Physiol Med. 1837;258-66.
Foix C, Chavany JA, Marie P. Cortico-subcortical linguist diplegia without paralysis of limbs. Rev Neurol. 1926;33:214-9.
Posteraro L, Pezzoni F, Varalda E, Fugazza G, Mazzucchi A. A case of unilateral opercular syndrome associated with subcortical lesion. J Neurol. 1991;238:337-9.
Milanlioglu A, Aydın MN, Gokgul A, Hamamci M, Erkuzu MA, Tombul T. Ischemic bilateral opercular syndrome. Case Reports Medi. 2013;2013:513-72.
Moragas GM, Cardona PP, Martinez-Yelamos S, Rubio BF. Heterogeneous topography of Foix-Chavany-Marie syndrome. Neurologia. 2007;22(5):333-6.
Weller M. Anterior opercular cortex lesions cause dissociated lower cranial nerve palsies and anarthria but no aphasia: Foix-Chavany-Marie syndrome and automatic voluntary dissociation revisited. J Neurol. 1993;240:199-208.
Shafrir Y, Prensky AL. Acquired epileptiformopercular syndrome: a second case report, review of the literature, and comparison to the Landau-Kleffner syndrome. Epilepsia. 1995;36:1050-7.
Thomas P, Borg M, Suisse G, Chatel M. Opercular myoclonic-anarthric status epilepticus. Epilepsia. 1995;36:281-9.
Mao CC, Coull BM, Golper LAC, Rau MT. Anterior operculum syndrome. Neurol. 1989,39:1169-72.
Besson G, Bogousslavsky J, Regli F, Maeder P. Acute pseudobulbar or suprabulbar palsy. Arch Neurol. 1991;48:501-7.