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Anterior operculum syndrome localized by SPECT
Y Lampl1, A Steinmetz, R Gilad
1Department of Neurology, Edith Wolfson Medical Center, Holon, Israel.
Summary
This case report details an uncommon instance of anterior operculum syndrome, identified through brain SPECT scans. The findings highlight SPECT
Area of Science:
- Neurology
- Neuroimaging
- Diagnostic Medicine
Background:
- Anterior operculum syndrome is a rare neurological condition characterized by specific deficits.
- Accurate diagnosis is crucial for understanding the underlying pathology and guiding treatment.
Observation:
- A patient presented with complete anarthria and orofacial apraxia, with no other neurological deficits.
- Clinical presentation was consistent with anterior operculum syndrome.
Findings:
- Standard brain CT and MRI scans were inconclusive.
- Regional brain perfusion scan using 99mTc-HMPAO SPECT revealed hypoperfusion in the left inferior frontal lobe.
- This localized the deficit to an uncommon, focal degenerative cause of anterior operculum syndrome.
Implications:
- Single-photon emission computed tomography (SPECT) can effectively diagnose unusual cases of anterior operculum syndrome.
- This case underscores the utility of SPECT in identifying focal degenerative neurological conditions.
- Further research into SPECT's role in diagnosing rare neurological disorders is warranted.