Abstract
Foix Chavany Marie Syndrome also known as Opercular syndrome is characterised by loss of voluntary control of facial, pharyngeal, lingual and masticatory muscles with preserved reflexive and automatic emotional functions. It commonly presents as biopercular syndrome although unilateral cases are rarely reported. Its association with HIV is rare and we present a 34 year old HIV affected woman who presented with acute onset of dysarthria and dysphagia. MR Imaging of the brain revealed the characteristic high signal intensities in the left opercular area near the insula. Clinical improvement was documented following antiplatelet therapy.
Highlights
Foix-Chavany-Marie syndrome (FCMS) or the anterior opercular syndrome is characterized by anarthria/ dysarthria and loss of voluntary control of facial, pharyngeal, lingual and masticatory muscles with preserved reflexive and automatic emotional functions.[1]
We present a case report of a HIV seropositive woman who presented with unilateral anterior Opercular syndrome and contralateral 7th, 9th, 10th & 12th cranial nerve palsies
The Foix Chavany Marie syndrome is known as the opercular syndrome due to its anatomical location
Summary
Foix-Chavany-Marie syndrome (FCMS) or the anterior opercular syndrome is characterized by anarthria/ dysarthria and loss of voluntary control of facial, pharyngeal, lingual and masticatory muscles with preserved reflexive and automatic emotional functions.[1] It is a rare disorder usually due to bilateral lesions of the opercular cortex surrounding the insula. Magnus first described this syndrome in 1837 as Foix-Chavany-Marie syndrome (FCMS), facio-labio-glossopharyngolaryngo-brachial paralysis or cortical type of pseudobulbar paralysis. We present a case report of a HIV seropositive woman who presented with unilateral anterior Opercular syndrome and contralateral 7th, 9th, 10th & 12th cranial nerve palsies
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