Faciolingual Hemiparesis with Mild Limb Weakness of Cortical Origin.
The clinical combination of unilateral facial and hypoglossal palsy with upper limb weakness is known as the capsular genu syndrome and responds most often to an ischemic infarct in the internal capsule. We here describe a patient with this peculiar combination, in whom the responsible lesion was located in the contralateral prefrontal cortex, involving the corresponding areas of the Penfield's homunculus. Contralateral cortical frontal lesions should be considered in patients with facial and hypoglossal palsy with upper limb weakness.
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Aintzine
A
Ruisanchez-Nieva
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Jone
J
Bocos-Portillo
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Rakel
R
Vazquez-Picon
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
David Anguizola
DA
Tamayo
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Lara
L
Pardina-Vilella
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Marian
M
Gomez-Beldarrain
Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain. Electronic address: hospit05@sarenet.es.
Juan Carlos
JC
Garcia-Monco
D001927:Brain Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000473:pathology*; D005158:Facial Paralysis / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000150:complications / Q000209:etiology*; D010291:Paresis / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*
Stroke; capsular genu syndrome; hypoglossal palsy; peripheral facial palsy