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KMID : 1024720190090010028
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Geriatric Rehabilitation
2019 Volume.9 No. 1 p.28 ~ p.30
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Foix-Chavany-Marie Syndrome Secondary to Right Corona Radiata Infarction: Case Report
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Yoo Young-Hwan
Lim Ju-Young
Kim Su-Hong
Kim Chang-Hwan
Kim Myeong-Ok
Jung Han-Young
Jo Yun-Hee
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Abstract
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Bilateral anterior opercular syndrome is also known as Foix-Chavany-Marie syndrome (FCMS), facio-pharyngo-glosso-masticatory paralysis. FCMS is characterized by a loss of voluntary control of facial, lingual, pharyngeal and masticatory muscles, in the presence of automaticvoluntary dissociation. We present the case of FCMS developed following right putamen and corona radiata stroke. A 62-year old man with prior infarction was admitted hospital with manifesting left hemiparesis, dysarthria and hypomimia. He had voluntary facial paresis, but showed automatic-voluntary dissociation. MRI demonstrated an acute subcortical infarction with contralateral old subcortical infarction. Therefore, we suggest that bilateral stroke is the main etiology of FCMS, but a unilateral lesion may lead to FCMS in a patient who already has
contralateral subcortical dysfunction.
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KEYWORD
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Anarthria, Foix-Chavany-Marie syndrome, Subcortical infarction
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