Isolated facio-lingual hypoalgesia and weakness after a hemorrhagic infarct localized at the contralateral operculum.
Isolated facio-lingual hypoesthesia and weakness is rare. We describe a case of isolated facio-lingual hypoesthesia and weakness after a hemorrhagic infarct localized at the contralateral operculum. A 66-year-old woman developed acute onset of facio-lingual hypoalgesia, hypoesthesia, and weakness, with no such symptoms being observed in other parts of the body. Brain magnetic resonance imaging showed a subacute hemorrhagic infarct in the right frontal operculum, which spread slightly to the right temporo-parietal operculum. (123)IMP-SPECT showed hypoperfusion in the right fronto-temporo-parietal operculum, as detected by MRI, without apparent diaschisis within the brain. Neuroimaging findings for our patient suggested the involvement of the primary somatosensory-motor cortices (S1 and M1) and the secondary somatosensory cortex (S2), which receive trigemino-thalamo-cortical pathways.
Neurology Division, Department of Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan. sakakibara@sakura.med.toho-u.ac.jp
Ryuji
R
Sakakibara
Masahiko
M
Kishi
Emina
E
Ogawa
Kohji
K
Shirai
D000368:Aged; D020520:Brain Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D001931:Brain Mapping; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000473:pathology*; D005145:Face / Q000503:physiopathology*; D005260:Female; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D020300:Intracranial Hemorrhages / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000209:etiology*; D015899:Tomography, Emission-Computed, Single-Photon; D014059:Tongue / Q000503:physiopathology*