Dysarthria and dysphagia due to the opercular syndrome in multiple sclerosis.
We report a patient with relapsing-remitting multiple sclerosis (RRMS), who developed bilateral severe tongue weakness due to the anterior opercular syndrome. This was caused by a recent inflammatory demyelinating lesion in the right perisylvian juxtacortical region, superimposed on a pre-existing left perisylvian lesion, which had previously caused temporary isolated right tongue weakness.
Pender
M P
MP
Department of Neurology, Royal Brisbane and Women's Hospital, Herston, Queensland 4029, Australia. m.hawes@uq.edu.au
Ferguson
S M
SM
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology* / Q000473:pathology; D004401:Dysarthria / Q000209:etiology* / Q000473:pathology; D017034:Epilepsy, Frontal Lobe / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000473:pathology*