Childhood acute disseminated encephalomyelitis presenting as Foix-Chavany-Marie syndrome.
A 10-year-old boy presented with anarthria and bilateral central faciolinguovelopharyngeomasticatory paralysis with "automatic voluntary dissociation" suggestive of Foix-Chavany-Marie syndrome or anterior opercular syndrome following a nonspecific upper respiratory infection. Brain magnetic resonance imaging revealed bilateral subcortical perisylvian demyelination in addition to multiple subcortical white-matter demyelination. The clinicoradiologic picture suggested acute disseminated encephalomyelitis. The child recovered completely following intravenous methylprednisolone and intravenous immunoglobulin therapy. This is the first report of anterior opercular syndrome in childhood acute disseminated encephalomyelitis.
RamachandranNair
Rajesh
R
Department of Neurology, Medical College Hospital, Calicut, India. drrajeshram@rediffmail.com
Manoj
P
P
Rafeequ
Mohammed
M
Girija
A S
AS
D002648:Child; D003680:Deglutition Disorders / Q000209:etiology*; D004673:Encephalomyelitis, Acute Disseminated / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology*; D013284:Stomatognathic System / Q000503:physiopathology*; D013577:Syndrome