Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8689234 | Neurología Argentina | 2018 | 5 Pages |
Abstract
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.
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Authors
Jorge López-Esparza, Carlos D. Castillo, Priscila Verduzco, Marco Santos, Fernando Flores, Erwin Chiquete, Minerva Lopez-R, Olivia Pech, Hugo Tobón, Carlos Cantú-Brito,