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A Case of Bilateral Opercular Stroke Presenting as Foix-Chavany-Marie syndrome: a 6-Month Follow-Up, Supplemented with a Physical Examination Video

Author

Listed:
  • Donohoe Charles
  • Gratton Sean
  • Finn Margaret
  • Lodhi Hafsa

    (University of Missouri, USA)

  • Siddiqui Waquar

    (Center for Behavioral Medicine, USA)

Abstract

Foix-Chavany-Marie syndrome is a rare disorder due to bilateral damage of the operculum most commonly secondary to stroke. Classically the patient presentation is alert and cognitively intact, but unable to voluntarily speak or swallow and is accompanied by preservation of automatic movements such as yawning or smiling. We report a case of a 38-year-old African American male with history of left middle cerebral artery infarction that presents with sudden inability to open his mouth or perform any oral motion upon command, although can execute automatic movements such as yawning. The patient exhibited FCMS with classic clinical symptoms due to the most common vascular etiology. This is accompanied by confirmatory magnetic resonance evidence revealing an old infarct in the left frontal operculum with multiple new ischemic foci in the right operculum.

Suggested Citation

  • Donohoe Charles & Gratton Sean & Finn Margaret & Lodhi Hafsa & Siddiqui Waquar, 2017. "A Case of Bilateral Opercular Stroke Presenting as Foix-Chavany-Marie syndrome: a 6-Month Follow-Up, Supplemented with a Physical Examination Video," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 4(3), pages 44-47, June.
    • Handle: RePEc:adp:joajnn:v:4:y:2017:i:3:p:44-47
    DOI: 10.19080/OAJNN.2017.04.555638
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