DOI: 10.12890/2021_002462

Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke

Authors

  • 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

roberto.toledo.trev@gmail.com

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.

View the entire article

Downloads

References

  1. Yoshii F, Sugiyama H, Kodama K, Irino T. Foix-Chavany-Marie syndrome due to unilateral anterior opercular damage with contralateral infarction of corona radiata. Case Rep Neurol 2019;11(3):319–324. doi: 10.1159/000503856
  2. Foix C, Chavany JA, Marie J. Diplegie facio-linguomasticatrice d’origine souscorticale sans paralysie des members. Rev Neurol 1926;33:214–219.
  3. Turgut AÇ, Tubbs RS, Turgut M. French neurologists Charles Foix and Jean Alfred Émile Chavany and French pediatrician Julien Marie and the Foix-Chavany-Marie syndrome. Childs Nerv Syst 2019;36(11):2597–2598. doi: 10.1007/s00381-019-04290-1
  4. Qiu X, Zhang B, Chen C, Gao T, Sun C, Xie B, Bai Y. Recovery of Foix-Chavany-Marie syndrome with multi-modal rehabilitation therapy: a case report and review of literature. Int J Phys Med Rehabil 2019,7:1 doi: 10.4172/2329-9096.1000510
  5. Ohtomo R, Iwata A, Tsuji S. Unilateral opercular infarction presenting with Foix-Chavany-Marie syndrome. J Stroke Cerebrovas Dis 2012;23(1):179–181. doi: 10.1016/j.jstrokecerebrovasdis.2012.08.015

Published

2021-04-06

Issue

Vol. 8 No. 4 (2021)

How to Cite

1.
Toledo-Trevino RA, Manrique-Otero D, Castellanos- Pedroza E, Cano-Nigenda V, Alvarado-Bolanos A, Calleja- Castillo J, et al. Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke . EJCRIM [Internet]. 2021 Apr. 6 [cited 2026 Nov. 3];8(4). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2462

Most read articles by the same author(s)