Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke
| العنوان: | Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke |
|---|---|
| المؤلفون: | Juan Calleja-Castillo, Roberto Toledo-Trevino, Diana Manrique-Otero, Vanessa Cano-Nigenda, Enrique Castellanos-Pedroza, Antonio Arauz, Alonso Alvarado-Bolaños |
| المصدر: | European Journal of Case Reports in Internal Medicine (2021) Eur J Case Rep Intern Med |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | pseudobulbar palsy, medicine.medical_specialty, medicine.drug_class, medicine.medical_treatment, lcsh:Medicine, foix-chavany-marie, 03 medical and health sciences, Dysarthria, 0302 clinical medicine, Modified Rankin Scale, Percutaneous endoscopic gastrostomy, opercular stroke, Internal Medicine, Medicine, 030212 general & internal medicine, Stroke, business.industry, lcsh:R, Articles, opercular syndrome, Vitamin K antagonist, Pseudobulbar palsy, medicine.disease, Dysphagia, Foix–Chavany–Marie syndrome, Surgery, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | 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. Learning points In the presence of acute dysarthria and dysphagia, Foix-Chavany-Marie syndrome (FCMS) should be considered.FCMS may occur in the presence of unilateral opercular stroke.Swallowing and speech therapy play an essential role in rehabilitation after the acute setting. |
| تدمد: | 2284-2594 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33945cb73ade051a1e9c9487b0a73976 https://pubmed.ncbi.nlm.nih.gov/33987126 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....33945cb73ade051a1e9c9487b0a73976 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22842594 |
|---|