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

Shreyan A Patel; Austin Forrester; Hyunwoong Kang; Eric Collin; Kashyap Patel

doi:10.7759/cureus.26013

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

Cureus. 2022 Jun 16;14(6):e26013. doi: 10.7759/cureus.26013. eCollection 2022 Jun.

Authors

Shreyan A Patel¹, Austin Forrester¹, Hyunwoong Kang², Eric Collin³, Kashyap Patel²

Affiliations

¹ Internal Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
² Internal Medicine, LewisGale Medical Center, Salem, USA.
³ Psychiatry, LewisGale Medical Center, Salem, USA.

Abstract

Foix-Chavany-Marie syndrome (FCMS) is characterized by bilateral facio-glosso-pharyngo-masticatory paralysis of voluntary muscles due to bilateral infarction in the anterior opercular region of the brain. Here, we report a case of a 52-year-old female who presented with FCMS due to an acute left anterior opercular stroke in the setting of a chronic asymptomatic right opercular infarct and asymptomatic bilateral cerebellar infarcts. She also had a concurrent acute-on-chronic episode of congestive heart failure exacerbation. She made a significant recovery by the time of hospital discharge.

Keywords: anterior opercular syndrome; autonomic-voluntary dissociation; foix-chavany-marie syndrome; pseudobulbar palsy; stroke.

Publication types

Case Reports