Anterior operculum syndrome localized by SPECT.
The aim of this case report was to present a patient with complete anarthria and orofacial apraxia without other relevant neurological deficit. The clinical features are compatible with anterior operculum syndrome.


METHODS
A regional brain perfusion scan was done using 99mTc-HMPAO and a SPECT gamma camera. A brain CT scan and an MRI were also performed.


RESULTS
Brain CT and MRI were not diagnostic. On brain SPECT, hypoperfusion of the left inferior area of the frontal lobe was noted.


CONCLUSIONS
The patient studied showed an uncommon case of anterior operculum syndrome of focal degenerative origin localized by SPECT. SPECT may be a useful and effective method for diagnosis of this unusual neurological deficit.
Lampl
Y
Y
Department of Neurology, Edith Wolfson Medical Center, Holon, Israel.
Steinmetz
A
A
Gilad
R
R
Eshel
Y
Y
Chamovitz
D
D
Sarova-Pinhas
I
I
D000368:Aged; D001072:Apraxias / Q000000981:diagnostic imaging*; D001921:Brain / Q000000981:diagnostic imaging*; D003680:Deglutition Disorders / Q000000981:diagnostic imaging; D004401:Dysarthria / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D015609:Organotechnetium Compounds; D010091:Oximes; D019275:Radiopharmaceuticals; D013577:Syndrome; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon
D015609:Organotechnetium Compounds; D010091:Oximes; D019275:Radiopharmaceuticals; D019690:Technetium Tc 99m Exametazime