Dissociated Automatic-Voluntary Lower Cranial Nerve Palsies and Anarthria After Left Corona Radiata Infarction: Foix-Chavany-Marie Sydrome.
- Author:
Geon Ha KIM
1
;
Young Shin YOON
;
Young Jae KIM
;
Jung Eun KIM
;
Kee Duk PARK
;
Kyoung Gyu CHOI
;
Jee H JEONG
Author Information
1. Department of Neurology, Ewha Womans University School of medicine,Ewha Womans University Mokdong Hospital, Cognitive and Language Disorder clinic, Korea. jjeong@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Foix-Chavany-Marie Syndrome;
Anarthria;
Subcortical infarction
- MeSH:
Basal Ganglia;
Cerebral Infarction;
Cranial Nerve Diseases;
Cranial Nerves;
Dissociative Disorders;
Facial Paralysis;
Glucose;
Humans;
Infarction;
Middle Aged;
Paralysis;
Paresis
- From:Journal of the Korean Neurological Association
2008;26(4):357-360
- CountryRepublic of Korea
- Language:Korean
-
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.