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Case Reports in Medicine
Volume 2013, Article ID 513572, 3 pages
Case Report

Ischemic Bilateral Opercular Syndrome

Neurology Department, Faculty of Medicine, Yüzüncü Yıl University, Turkey

Received 11 October 2012; Revised 4 January 2013; Accepted 16 January 2013

Academic Editor: Marie-Cécile Nassogne

Copyright © 2013 Aysel Milanlioglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the present case, an 81-year-old male presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.