일측성 전두두정덮개 병변과 반대측 내포와 병변으로 발생한 Foix-Chavany-Marie Syndrome 1예
A Case of Foix-Chavany-Marie Syndrome Caused by Anterior Operculum and Contralateral Capsular Lesion
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Foix-Chavany-Marie syndrome (FCMS) is caused by bilateral frontoparietal opercular lesions, and there are loss of voluntary control of facio-pharyngo-lingual-masticatory muscle. A 59 year-old man was admitted due to sudden left hemiparesis and severe dysphagia. He could blink and yawn spontaneously, but he could not close eyes and open mouths on command. Five years earlier he had experienced hemorrhage in the left basal ganglia resulted in the right sided hemiparesis. Recovery from this previous stroke was nearly complete. Brain MRI showed lesions in the right anterior operculum and the left posterior internal capsule-globus pallidus. We report a patient with FCMS was caused by unilateral anterior opercular and contralateral internal capsule lesions.
Abstract
Foix-Chavany-Marie syndrome (FCMS) is caused by bilateral frontoparietal opercular lesions, and there are loss of voluntary control of facio-pharyngo-lingual-masticatory muscle. A 59 year-old man was admitted due to sudden left hemiparesis and severe dysphagia. He could blink and yawn spontaneously, but he could not close eyes and open mouths on command. Five years earlier he had experienced hemorrhage in the left basal ganglia resulted in the right sided hemiparesis. Recovery from this previous stroke was nearly complete. Brain MRI showed lesions in the right anterior operculum and the left posterior internal capsule-globus pallidus. We report a patient with FCMS was caused by unilateral anterior opercular and contralateral internal capsule lesions.