A Case of Foix-Chavany-Marie Syndrome With Asynchronous Bilateral Opercular Infarcts and Chronic Bilateral Cerebellar Infarcts

Patel, Shreyan A; Forrester, Austin; Kang, Hak-Hee; Collin, E.; Patel, Kashyap

doi:10.7759/cureus.26013

Cited by 1 publication

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Though the actual incidence of the syndrome is not known till now, varied etiologies have been identified and documented in various studies including, perinatal insults, inflammatory demyelinating syndromes, developmental malformations like heterotopias, polymicrogyria, and infective etiology [ 9 ]. Classically FCMS is attributed to (B/L) frontal anterior opercular lesions which contain motor fibers from cranial nerves V, VII, IX, X, and XII though (B/L) posterior, unilateral anterior, and unilateral posterior lesions may also occur [ 10 ]. Contrary to the common findings, both cases mentioned here presented with bifacial, lingual, and pharyngolaryngeal palsy thereby confirming the diagnosis of FCMS but none of them had the classical (B/L) frontal opercular lesions on imaging.…”

Section: Discussionmentioning

confidence: 99%

“…In a study done by Brandoe et al, one possible hypothesis has been documented which states the existence of an anatomical variant, such that there is predominantly unilateral corticobulbar tract representation [ 6 ]. While, the majority of the patients who are diagnosed with FCMS due to (B/L) opercular lesions have a poor prognosis with residual defects in swallowing, chewing, and speaking and often require medical assistance due to the risk of aspiration, patients with unilateral opercular lesions have a relatively good prognosis [ 4 , 10 ]. While the exact mechanism and pathophysiology/anatomical basis of FCMS is not known, some other studies have hypothesized that the presence of asynchronous contralateral lesions could catalyze the development of FCMS [ 1 , 12 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Atypical Presentations of Foix-Chavany-Marie Syndrome (FCMS) in Stroke

Sanker¹,

Srinivasan²,

Emara³

et al. 2023

Cureus

View full text Add to dashboard Cite

Foix-Chavany-Marie syndrome (FCMS) presents with anarthria and bilateral (B/L) central facio-linguo-velopharyngo-masticatory paralysis with "autonomic voluntary dissociation." The most common cause of FCMS is cerebrovascular disease, while rarer causes include central nervous system infection, developmental disorders, epilepsy, and neurodegenerative disorders. Even though this syndrome is also referred to as (B/L) anterior operculum syndrome, patients with lesion in sites other than (B/L) opercular regions also can develop the syndrome. In this article we describe two such atypical cases. Case 1: A 66-year-old man with diabetes and hypertension who is a smoker had right-sided hemiplegia one year back developed the syndrome acutely two days before admission. CT brain showed left perisylvian infarct and right internal capsule anterior limb infarct. Case 2: A 48-year-old gentleman, who is a diabetic and hypertensive had rightsided hemiplegia one year back and developed the syndrome acutely two days before admission. CT brain showed (B/L) infarcts in the posterior limb of the internal capsule. Both patients had bifacial, lingual, and pharyngolaryngeal palsy thereby confirming the diagnosis of FCMS. None of them had the classical (B/L) opercular lesions on imaging and one patient did not even have a unilateral opercular lesion. Contrary to the common teaching, (B/L) opercular lesions are not always necessary to produce FCMS and can occur even without opercular lesions at all.

show abstract

Section: Discussionmentioning

confidence: 99%