Toledo-Trevino, Roberto and Manrique-Otero, Diana and Castellanos-Pedroza, Enrique and Cano-Nigenda, Vanessa and Alvarado-Bolaños, Alonso and Calleja-Castillo, Juan and Arauz, Antonio (2021) Foix-Chavany-Marie Syndrome as a Manifestation of Unilateral Opercular Stroke. European Journal of Case Reports in Internal Medicine, 8 (4). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Foix-Chavany-Marie, pseudobulbar palsy, opercular syndrome, opercular stroke |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 21 Dec 2021 15:08 |
| Last Modified: | 21 Dec 2021 15:08 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21233 |
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