European Journal of Case Reports in Internal Medicine (Apr 2021)

Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke

  • Roberto Abel Toledo-Trevino,
  • Diana Manrique-Otero,
  • Enrique Castellanos- Pedroza,
  • Vanessa Cano-Nigenda,
  • Alonso Alvarado-Bolanos,
  • Juan Calleja- Castillo,
  • Antonio Arauz

DOI
https://doi.org/10.12890/2021_002462

Abstract

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Introduction: Foix-Chavany-Marie syndrome (FCMS) is a type of pseudobulbar palsy that affects facio-pharyngo-glosso-masticatory muscles. Materials and Methods: A 62-year-old man was admitted to the emergency department after 9 hours of acute dysarthria and dysphagia. MRI showed restricted diffusion in the right operculum on diffusion-weighted imaging (DWI). No thrombolytic therapy was given. The patient had a history of mechanical aortic valve replacement under anticoagulation with a vitamin K antagonist. Work-up demonstrated suboptimal levels of INR. Due to severe dysphagia during hospitalization, a percutaneous endoscopic gastrostomy (PEG) was performed. Results: The patient was discharged 5 days later, with a modified Rankin scale (mRs) score of 3, and secondary stroke prevention. He had achieved an excellent functional outcome (mRs 1) at 6-month follow-up. Conclusion: Our patient had a satisfactory recovery due to prompt diagnosis, secondary stroke prevention, and compliance with treatment.

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