title: Speech suppression without aphasia after bilateral perisylvian softenings (bilateral rolandic operculum damage).
abstract: The authors describe a patient who suffered two successive, right and left, strokes that caused bilateral rolandic operculum damage. The clinical picture was characterized by selective impairment of volitional facio-pharyngo-glosso-masticatory movements with sparing of automatic and reflex motor activity (Foix-Chavany-Marie syndrome). Though completely speechless, the patient was not aphasic. This dissociation is discussed in the light of the peculiar localization of lesions evidenced by CT-scan.
mesh_terms: D002544:Cerebral Infarction / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009155:Mutism / Q000175:diagnosis*; D011581:Psychological Tests; D013577:Syndrome; D014057:Tomography, X-Ray Computed