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좌측 방사관 경색에 의해 발생한 자동-수의적 조절 해리를 보이는 하부 뇌신경마비와 조음불능증: Foix-Chavany-Marie증후군

Dissociated Automatic-Voluntary Lower Cranial Nerve Palsies and Anarthria After Left Corona Radiata Infarction:Foix-Chavany-Marie Sydrome

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초록

Foix-Chavany-Marie Syndrome (FCMS) is characterized by anarthria and bilateral facio-pharyngo-glosso-masticatory paralysis with an automatic-voluntary dissociation, which usually develops in bilateral opercular lesions. We present a case of FCMS caused by unilateral subcortical lesion. A 54-year-old man was admitted due to acute right hemiparesis with anarthria. He had voluntary facial paresis but automatic-involuntary facial movements were preserved. MRI showed an acute left corona radiata infarction and PET revealed decreased glucose metabolism in left basal ganglia and fronto-parietal lobe.

Abstract

Foix-Chavany-Marie Syndrome (FCMS) is characterized by anarthria and bilateral facio-pharyngo-glosso-masticatory paralysis with an automatic-voluntary dissociation, which usually develops in bilateral opercular lesions. We present a case of FCMS caused by unilateral subcortical lesion. A 54-year-old man was admitted due to acute right hemiparesis with anarthria. He had voluntary facial paresis but automatic-involuntary facial movements were preserved. MRI showed an acute left corona radiata infarction and PET revealed decreased glucose metabolism in left basal ganglia and fronto-parietal lobe.

참고문헌 (8)

  1. Kim DE, "A case of Bilateral Anterior Opercular Syndrome: Foix-Chavany-Marie Syndrome", J Korean Neurol Assoc, 18, pp.450~453 (2000)
  2. Weller M, "Anterior opercular cortex lesions cause dissociated lower cranial nerve palsies and anarthria but no aphasia: Foix-Chavany-Marie syndrome and “automatic voluntary dissociation” revisited", J Neurol, 240, pp.199~208 (1993)
  3. Bakar M, "The opercular-subopercular syndrome; four cases with review of the literature", Behav Neurol, 11, pp.97~103 (1998)
  4. Ann MY, "Foix-Chavany-Marie syndrome", Zhonghua Yi Xue Za Zhi (Taipei), 64, pp.540~544 (2001)
  5. Posteraro L, "A case of unilateral opercular syndrome associated with subcortical lesion", J Neurol, 238, pp.337~339 (1991)
  6. Kim JS, "Somatotopically located motor fibers in corona radiata: evidence from subcortical small infarcts", Neurology, 64, pp.1438~1440 (2005)
  7. Hopf HC, "Localization of emotional and volitional facial paresis", Neurology, 42, pp.1918~1923 (1992)
  8. Holstege G, "Emotional innervation of facial musculature", Mov Disord, 17(2), pp.12~16 (2002)

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