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Cheiro-Oral Syndrome.

L Thapa1, R Amatya1, S Maharjan1

  • 1National Institute of Neurological and Allied Sciences(NINAS), Bansbari, Kathmandu, Nepal.

Kathmandu University Medical Journal (KUMJ)
|January 15, 2019
PubMed
Summary
This summary is machine-generated.

Cheiro-Oral Syndrome (COS), a rare neurological condition, can result from an ischemic stroke. This case highlights a stroke in the internal capsule causing facial and hand sensory disturbances.

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Area of Science:

  • Neurology
  • Neuroscience
  • Stroke Research

Background:

  • Cheiro-Oral Syndrome (COS) is an exceptionally rare neurological disorder with diverse causes.
  • Understanding the etiology of rare syndromes is crucial for accurate diagnosis and management.

Observation:

  • A 53-year-old male presented with a month-long burning sensation on the left side of his face and ipsilateral hand.
  • Physical examination revealed reduced sensation (hypesthesia) in the perioral region and on the palmar aspects of the left hand's fingers.

Findings:

  • Magnetic Resonance Imaging (MRI) identified a subacute infarct in the posterior limb of the right internal capsule.
  • The infarct was adjacent to, and minimally involved, the thalamus, a key sensory relay center.

Implications:

  • This case establishes ischemic stroke as a potential cause of Cheiro-Oral Syndrome.
  • Effective management strategies for COS secondary to stroke can be developed based on such findings.
  • Further research into the neuroanatomical pathways affected in COS is warranted.