[HIV related Foix-Chavany-Marie syndrome].
Automatic-voluntary motor dissociation of the face and lower cranial nerves of brainstem is the hallmark of Foix-Chavany-Marie syndrome (biopercular syndrome). It is commonly caused by ischemic strokes. We present a biopercular syndrome associated with HIV. A 41 year old female who presents a progressive automatic- voluntary motor dissociation of face and lower cranial nerves with later involvement of limbs. She was immunodepressed as a result of HIV. MRI showed bilateral lesions in opercular areas and ventrolateral thalamic nucleus, likely as a result of retrograde neuronal degeneration. Automatic-voluntary dissociation occur after biopercular lesions with sparing of motor pathway proceeding from the cingulate cortex.
Redondo
L
L
Servicio de Neurología, Hospital Virgen de la Macarena, Sevilla, Spain. lredondov@meditex.es
Mir
J
J
Pérez de Léon
J A
JA
Durán
E
E
Viguera
J
J
Gálvez
J
J
Izquierdo
G
G
D000328:Adult; D001332:Automatism; D002531:Cerebellum / Q000503:physiopathology*; D003391:Cranial Nerves / Q000503:physiopathology; D005154:Facial Nerve / Q000503:physiopathology*; D005260:Female; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010523:Peripheral Nervous System Diseases / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D011149:Pons / Q000503:physiopathology*; D013577:Syndrome; D020651:Ventral Thalamic Nuclei / Q000473:pathology