A Case of Foix-Chavany-Marie Syndrome With Asynchronous Bilateral Opercular Infarcts and Chronic Bilateral Cerebellar...

Area of Science:

• Neurology
• Neuroscience
• Stroke Medicine

Background:

• Foix-Chavany-Marie syndrome (FCMS) is a rare neurological disorder.
• It results from bilateral damage to the anterior opercular region of the brain.
• FCMS causes paralysis of voluntary facial, tongue, and pharyngeal muscles.

Observation:

• A 52-year-old female presented with symptoms consistent with FCMS.
• Her condition was attributed to an acute left anterior opercular stroke.
• She had pre-existing asymptomatic right opercular and bilateral cerebellar infarcts.

Findings:

• The patient experienced acute-on-chronic congestive heart failure exacerbation concurrently.
• Imaging revealed an acute left anterior opercular infarct superimposed on a chronic right opercular infarct.
• Asymptomatic bilateral cerebellar infarcts were also noted.

Implications:

• This case expands the understanding of FCMS etiology and presentation.
• It underscores the importance of considering multiple cerebrovascular events.
• The patient's significant recovery highlights the potential for rehabilitation in complex stroke cases.