ABSTRACT
Bilateral lesions of the opercula frontoparietalia are uncommon and cause a symptom cluster including anarthria, severe dysphagia, inability to chew and sometimes facial paresis. At the same time there is an automatic-voluntary dissociation, meaning that the affected muscles are functional within the scope of involuntary movements. This syndrome is known as Foix-Chavany-Marie syndrome (FCMS), (bilateral) anterior operculum syndrome or facio-pharyngo-glosso-masticatory diplegia. We report the case of a patient who suffered from FCMS after having infarctions in the territory of the middle cerebral artery on each side 4 years apart.
Subject(s)
Deglutition Disorders/etiology , Dominance, Cerebral/physiology , Dysarthria/etiology , Infarction, Middle Cerebral Artery/diagnosis , Aged , Deglutition Disorders/rehabilitation , Diagnostic Imaging , Dysarthria/rehabilitation , Facial Paralysis/etiology , Facial Paralysis/rehabilitation , Follow-Up Studies , Hemiplegia/etiology , Hemiplegia/rehabilitation , Humans , Infarction, Middle Cerebral Artery/rehabilitation , Male , Neurologic Examination , Pneumonia, Aspiration/prevention & control , Recurrence , SyndromeABSTRACT
This report is about a 58-year-old female patient with generalized herpes simplex virus exanthema. The virus was detected not only in the skin eruptions but also in rinsing liquid from the throat. Its typical feature revealed it to be herpes simplex virus Type I. On the basis of similar cases which have been described in literature, we point out that it is necessary to carry out virological and serological tests in cases of uncertain vesico-pustular or erythema exsudativum multiforme like exanthemas. These exanthemas must be separated from the postherpetic erythema exsudativum multiforme because of the identified virus.
