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An unusual case of bilateral anterior opercular syndrome from a neuro-rehabilitation perspective

Eventide, Chad, PA-C; Nair, Ajoy, MD, FRCP; Tai, Yen F., PhD, MRCP; Timms, Katie, BMEDSCI; Lichtblau, Nicole, MD

Journal of the American Academy of PAs: June 2019 - Volume 32 - Issue 6 - p 26–28
doi: 10.1097/01.JAA.0000554222.25758.8b
Case Report

ABSTRACT Bilateral anterior opercular syndrome, also known as Foix-Chavany-Marie syndrome, is relatively rare and is characterized by inability of voluntary activation of facial, lingual, pharyngeal, and masticatory muscles with preserved automatic and reflex movements such as smiling and yawning. The syndrome is caused by bilateral lesions of the anterior opercula and results in severe impairments with speech and swallowing. This article describes a patient with bilateral anterior opercular syndrome secondary to embolic strokes and how neuro-rehabilitation improved symptoms.

At the Hillingdon Hospital NHS Foundation Trust in Uxbridge, United Kingdom, Chad Eventide practices rehabilitation medicine, Ajoy Nair is a consultant in rehabilitation medicine, Yen F. Tai is a consultant in neurology, and Katie Timms is a speech and language therapist. Nicole Lichtblau is a senior house officer in neuro-rehabilitation at Charing Cross Hospital, Imperial College Healthcare NHS Trust, in London, United Kingdom. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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