title: Reversible opercular syndrome secondary to osmotic demyelination.
abstract: Opercular syndrome (OPS) is characterized by weakness of facial, masticatory, pharyngeal, laryngeal, tongue and brachial muscles on voluntary command with preservation of emotional and reflexive movements. We report a case of 45year old female who developed the features of OPS due to lesions of bilateral frontal opercular region induced by osmotic demyelination secondary to hyperosmolar hyperglycaemia. On follow up at 6 months, she had complete recovery.
authors.affiliation: Dept. of Neurology, King George's Medical University, Lucknow, Uttarpradesh, India. Electronic address: drshuchit@gmail.com.
authors.forename: Shuchit
authors.initials: S
authors.lastname: Pandey
authors.affiliation: Dept. of Neurology, King George's Medical University, Lucknow, Uttarpradesh, India. Electronic address: vikramvholla@gmail.com.
authors.forename: Vikram V
authors.initials: VV
authors.lastname: Holla
authors.affiliation: Dept. of Neurology, King George's Medical University, Lucknow, Uttarpradesh, India. Electronic address: imranrizvi09@gmail.com.
authors.forename: Imran
authors.initials: I
authors.lastname: Rizvi
authors.affiliation: Dept. of Neurology, King George's Medical University, Lucknow, Uttarpradesh, India. Electronic address: rakeshshukla_rakesh@rediffmail.com.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Shukla
mesh_terms: D002540:Cerebral Cortex / Q000473:pathology*; D003680:Deglutition Disorders / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D003711:Demyelinating Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology*; D004401:Dysarthria / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D004644:Emotions; D005158:Facial Paralysis / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009997:Osmotic Pressure / Q000502:physiology
keywords: Hyperosmolar hyperglycaemic state; Opercular syndrome; Osmotic demyelination