Bilateral anterior opercular (Foix–Chavany–Marie) syndrome

Nowak, Dennis A.; Griebl, Gabriela; Dabitz, Rainer; Ochs, G.

doi:10.1016/j.jocn.2010.02.021

Cited by 15 publications

(17 citation statements)

References 3 publications

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“…The opercular syndrome was first described by Magnus in 1837 and is also known as Foix-Chavany-Marie syndrome (FCMS), facio-labio-glosso-pharyngolaryngo-brachial paralysis or cortical type of pseudobulbar paralysis [1][2][3][4][5].…”

Section: Resultsmentioning

confidence: 99%

“…Less common causes include trauma, CNS infections( tubercular meningitis, Herpes simplex encephalitis, brain abscess), multiple sclerosis, neuronal migration disorders, neurodegenerative disorders, partial status epilepticus in benign epilepsy of childhood with rolandic spikes ("reversible opercular syndrome") [2][3][4][5]8]. …”

Section: Resultsmentioning

confidence: 99%

“…A salient aspect of this syndrome is voluntary -automatic dissociation, so that the patient cannot voluntarily smile or cry, not even swallow food but has preserved automatic or emotional movements of those muscles (corneal reflex, threaten reflex, laughing, crying, yawning) [1][2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

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Bi-opercular Syndrome: A Case Report and Minireview

Praveen-kumar¹,

Pramod²

2014

JCDR

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A 40-year-old right handed healthy man had sudden onset of loss of speech and inability to swallow. He did not have any prior history of similar complaints or seizures. There was no history of headache, fever, vomiting or visual symptoms. He was neither a diabetic nor a hypertensive. He was a chronic smoker and alcoholic. On examination, his pulse was 72 per minute, regular and all peripheral pulses were well felt and BP was 130/80 mm Hg. Neurologically, he was conscious and responding to commands, but, he could not vocalize and he could not protrude his tongue or swallow on comm and [Table/ Fig-1]. However, opening of mouth was noted during yawning and laughing [Table/ Fig-2]. He had bilateral central facial paresis with preserved involuntary facial movements. Jaw jerk, palatal and pharyngeal reflexes were normal. Pronator drift of left upper limb and bilateral brisk deep tendon reflexes with bilateral extensor plantars were noted. Fundi and other examinations were normal. Cardiovascular, respiratory and per-abdomen examinations revealed no abnormality. CT head revealed bilateral perisylvian infarcts . MRI brain and angiography could not be done due to financial constraints. Complete hemogram, renal function tests, serum electrolytes and serum transaminases were normal. ECG and echocardiogram including transesophageal echo were normal. Bilateral carotid and vertebral doppler did not reveal any obstruction or stenosis. Transcranial doppler was normal. Stroke in young workup including serum homocysteine level, collagen vascular profile, APLA antibodies and thrombophilia workup were normal. Serum VDRL and HIV I and II were negative. Fasting lipid profile revealed total cholesterol of 296 mg/dl and LDL cholesterol of 138 mg/dl. He was put on Ryle's tube for feeding. He was started on antiplatelets and statins. A psychiatrist consultation was sought for advice regarding de-addiction. Speech and swallowing assessment was done by the therapist. He has shown no improvement in speech and swallowing at discharge and over 4 weeks follow up. He has been advised regular follow ups. DisCussionThe patient presented here had classical features of bilateral opercular syndrome characterised by cortical pseudo-bulbar paralysis (faciolabio-pharyngo-glosso-masticatory paralysis). A salient aspect of this syndrome is voluntary -automatic dissociation, so that the patient cannot voluntarily smile or cry, not even swallow food but has preserved automatic or emotional movements of those muscles (corneal reflex, threaten reflex, laughing, crying, yawning) [1-6]. Internal medicine SectionOpercular syndrome is a well known but neglected entity and is quite common, but it is difficult for non-neurologists to diagnose this entity because of lack of awareness. Inability to speak and swallow with dissociation of automatic voluntary movements in the affected muscles are the essential features of this syndrome. The aetiology in most of the reported cases is vascular (thrombosis or embolism) involving branches of middle cerebral artery supplying...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Bi-opercular Syndrome: A Case Report and Minireview

Praveen-kumar¹,

Pramod²

2014

JCDR

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“…The inability to chew and move the tongue are characteristic symptoms of OS 1,2 . Chewing mainly includes the two components of tapping the teeth and moving the tongue.…”

Section: Task Paradigmmentioning

confidence: 99%

Where are Cortical Lesions Responsible for Opercular Syndrome?

Wu²,

Zhang³

et al. 2013

Can. J. Neurol. Sci.

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“…As such, production of speech, chewing and swallowing are impaired. It most commonly occurs secondary to bilateral opercular stroke [8, 12], but other cases reported in the literature include following insular glioma resection [2, 6] and unilateral opercular contusions following traumatic brain injury [7]. In some cases, the syndrome is transient, resolving over the course of days [6]; in others, little improvement is seen over longer time frames [5, 8].…”

Section: Introductionmentioning

confidence: 99%

Foix-Chavany-Marie syndrome secondary to bilateral traumatic operculum injury

et al. 2018

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This report describes a case of a 62-year-old man who developed Foix-Chavany-Marie syndrome subsequent to traumatic brain injury. The initial presentation of the syndrome was profound loss of voluntary control of orofacial muscles, causing a loss of speech and impairment of swallow. Over subsequent months, a remarkable recovery of these functions was observed. The natural history of FCMS in this case was favourable, with good improvement in function over months. Furthermore, the pattern of bilateral opercular injury was more readily recognised on MRI than on CT, supporting the role of MRI in cases of traumatic brain injury.Electronic supplementary materialThe online version of this article (10.1007/s00701-018-3702-x) contains supplementary material, which is available to authorized users.

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Bilateral anterior opercular (Foix–Chavany–Marie) syndrome

Cited by 15 publications

References 3 publications

Bi-opercular Syndrome: A Case Report and Minireview

Bi-opercular Syndrome: A Case Report and Minireview

Where are Cortical Lesions Responsible for Opercular Syndrome?

Foix-Chavany-Marie syndrome secondary to bilateral traumatic operculum injury

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