title: Anterior opercular syndrome induced by Epstein-Barr virus encephalitis.
abstract: We report a 19-year-old female presenting with fever, drooling, anarthria, and voluntary facial movement disruption, characteristic of anterior opercular syndrome (AOS). Serological examination revealed Epstein-Barr virus (EBV) infection following acute encephalitis with severe ataxia. A single-photon emission computerized tomography (SPECT) examination indicated hypoperfusion in the left perisylvian region, bilateral thalamus, occipital lobe, and cerebellum. This is the first report of AOS related to EBV encephalitis. SPECT was a useful method for detecting the damaged region of the operculum. In addition, AOS is a clinically distinct entity that may help us understand the mechanisms of language circuits within the operculum.
authors.affiliation: a Department of Neurology , Juntendo University School of Medicine , Bunkyo , Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsushima
authors.affiliation: a Department of Neurology , Juntendo University School of Medicine , Bunkyo , Japan.
authors.forename: Kenya
authors.initials: K
authors.lastname: Nishioka
authors.affiliation: a Department of Neurology , Juntendo University School of Medicine , Bunkyo , Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
authors.affiliation: a Department of Neurology , Juntendo University School of Medicine , Bunkyo , Japan.
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Yokoyama
authors.affiliation: a Department of Neurology , Juntendo University School of Medicine , Bunkyo , Japan.
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Hattori
mesh_terms: D001921:Brain / Q000821:virology*; D003680:Deglutition Disorders / Q000821:virology*; D004401:Dysarthria / Q000821:virology*; D020031:Epstein-Barr Virus Infections / Q000150:complications*; D005158:Facial Paralysis / Q000821:virology*; D005260:Female; D004854:Herpesvirus 4, Human; D006801:Humans; D055815:Young Adult
keywords: Epstein–Barr virus; Foix–Chavany–Marie syndrome; anarthria; anterior opercular syndrome; single-photon emission computerized tomography