Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke
  • Roberto Abel Toledo-Trevino
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Diana Manrique-Otero
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Enrique Castellanos- Pedroza
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Vanessa Cano-Nigenda
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Alonso Alvarado Bolanos
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Juan Calleja- Castillo
    Emergency Department, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
  • Antonio Arauz
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico

Keywords

Foix-Chavany-Marie, pseudobulbar palsy, opercular syndrome, opercular stroke

Abstract

Introduction: Foix-Chavany-Marie syndrome (FCMS) is a type of pseudobulbar palsy that affects facio-pharyngo-glosso-masticatory muscles.

Materials and Methods: A 62-year-old man was admitted to the emergency department after 9 hours of acute dysarthria and dysphagia. MRI showed restricted diffusion in the right operculum on diffusion-weighted imaging (DWI). No thrombolytic therapy was given. The patient had a history of mechanical aortic valve replacement under anticoagulation with a vitamin K antagonist. Work-up demonstrated suboptimal levels of INR. Due to severe dysphagia during hospitalization, a percutaneous endoscopic gastrostomy (PEG) was performed.

Results: The patient was discharged 5 days later, with a modified Rankin scale (mRs) score of 3, and secondary stroke prevention. He had achieved an excellent functional outcome (mRs 1) at 6-month follow-up.

Conclusion: Our patient had a satisfactory recovery due to prompt diagnosis, secondary stroke prevention, and compliance with treatment.

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References

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    Published: 2021-04-06
    Issue: 2021: Vol 8 No 4 (view)


    How to cite:
    1.
    Toledo-Trevino RA, Manrique-Otero D, Castellanos- Pedroza E, Cano-Nigenda V, Alvarado-Bolanos A, Calleja- Castillo J, Arauz A. Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke . EJCRIM 2021;8 doi:10.12890/2021_002462.

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