[Foix-Chavany-Marie syndrome: anarthria and severe dyphagia after sequential bilateral infarction of the middle cerebral artery].
Bilateral lesions of the opercula frontoparietalia are uncommon and cause a symptom cluster including anarthria, severe dysphagia, inability to chew and sometimes facial paresis. At the same time there is an automatic-voluntary dissociation, meaning that the affected muscles are functional within the scope of involuntary movements. This syndrome is known as Foix-Chavany-Marie syndrome (FCMS), (bilateral) anterior operculum syndrome or facio-pharyngo-glosso-masticatory diplegia. We report the case of a patient who suffered from FCMS after having infarctions in the territory of the middle cerebral artery on each side 4 years apart.
Guhra
M
M
Klinik für Neurologie in Bethel, Gilead I, Evangelisches Krankenhaus Bielefeld (EvKB), Burgsteig 13, Bielefeld, Germany. michael.guhra@evkb.de
Poppenborg
M
M
Hagemeister
C
C
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology* / Q000534:rehabilitation; D003952:Diagnostic Imaging; D004292:Dominance, Cerebral / Q000502:physiology*; D004401:Dysarthria / Q000209:etiology* / Q000534:rehabilitation; D005158:Facial Paralysis / Q000209:etiology / Q000534:rehabilitation; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000209:etiology / Q000534:rehabilitation; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis* / Q000534:rehabilitation; D008297:Male; D009460:Neurologic Examination; D011015:Pneumonia, Aspiration / Q000517:prevention & control; D012008:Recurrence; D013577:Syndrome