Bio-opercular Syndrome: A Case Report and Minireview
Published: June 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4450
S. Praveen-kumar, K Pramod
1. Associate Professor, Department of Neurology, Bowring & Lady Curzon Hospitals, Bangalore, India.
2. Resident, Department of Neurology, Bowring & Lady Curzon Hospitals, Bangalore, India.
Correspondence Address :
Dr. S. Praveen Kumar,
Associate Professor, Department of Neurology Bowring & Lady Curzon Hospitals,
Shivajinagar Bangalore-560001 Karnataka, India.
Phone: 09448685155 E-mail: dmpraveen@gmail.com
Abstract
Opercular syndrome is a well known but neglected entity and is quite common, but it is difficult for non-neurologists to diagnose this entity because of lack of awareness. Inability to speak and swallow with dissociation of automatic voluntary movements in the affected muscles are the essential features of this syndrome. The aetiology in most of the reported cases is vascular (thrombosis or embolism) involving branches of middle cerebral artery supplying the opercular area. We are reporting a case of “bilateral opercular syndrome” caused by stroke in a young patient. He had sudden onset of bilateral facial and tongue palsy, inability to speak and swallow, but with preserved automatic functions. He was mute but verbal comprehension was normal. CT head revealed bilateral perisylvian infarcts.
Keywords
Foix-Marie-Chavany, Stroke-in-young, Syndrome, Voluntary-automatic dissociation