Síndrome Foix-Chavany-Marie vascular: abordaje del constructo de ESUS

There are still few published cases of Foix-Chavany-Marie syndrome. In this paper, we present and discuss a clinical case exemplifying the ESUS construct (Embolic Stroke of Undetermined Source), a relatively recently developed concept, whose approach and treatment still poses unanswered questions. 62 year-old male patient with a history of DM2, HBP, dyslipidemia, smoking and heavy drinking. He presented with sudden glosso-masticatory-pharingo-facial diplegia and volitional-autonomous dissociation. The bilateral opercular syndrome was first described in 1926 by Charles Foix, J.A. Chavany & Julien Marie. This clinical syndrome is due to the different origin of the volitional (anterior operculus) and autonomous (laughing/crying/yawning; amygdalar-hypothalamic) motor neurons that project unto the v, vii, ix, X and xii cranial nerves' nuclei in the brainstem. This case fulfills the criteria for ESUS-a construct we discuss briefly herein.