우측 방사관 경색에 의해 발생한 Foix-Chavany-Marie 증후군: 증례보고
Foix-Chavany-Marie Syndrome Secondary to Right Corona Radiata Infarction: Case Report
유영환, 임주영, 김수홍, 김창환, 김명옥, 정한영, 조윤희,
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유영환 ( Yoo Young-Hwan )
인하대학교 의과대학 재활의학교실
임주영 ( Lim Ju-Young )
인하대학교 의과대학 재활의학교실
김수홍 ( Kim Su-Hong )
인하대학교 의과대학 재활의학교실
김창환 ( Kim Chang-Hwan )
인하대학교 의과대학 재활의학교실
김명옥 ( Kim Myeong-Ok )
인하대학교 의과대학 재활의학교실
정한영 ( Jung Han-Young )
인하대학교 의과대학 재활의학교실
조윤희 ( Jo Yun-Hee )
인하대학교 의과대학 재활의학교실
KMID : 1024720190090010028
Abstract
Bilateral anterior opercular syndrome is also known as Foix-Chavany-Marie syndrome (FCMS), facio-pharyngo-glosso-masticatory paralysis. FCMS is characterized by a loss of voluntary control of facial, lingual, pharyngeal and masticatory muscles, in the presence of automaticvoluntary dissociation. We present the case of FCMS developed following right putamen and corona radiata stroke. A 62-year old man with prior infarction was admitted hospital with manifesting left hemiparesis, dysarthria and hypomimia. He had voluntary facial paresis, but showed automatic-voluntary dissociation. MRI demonstrated an acute subcortical infarction with contralateral old subcortical infarction. Therefore, we suggest that bilateral stroke is the main etiology of FCMS, but a unilateral lesion may lead to FCMS in a patient who already has
contralateral subcortical dysfunction.
키워드
Anarthria; Foix-Chavany-Marie syndrome; Subcortical infarction
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