| Anterior opercular syndrome, caused by herpes simplex encephalitis. | |
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MedLine Citation:
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PMID: 9270584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Bilateral frontal and parietal opercular lesions cause a syndrome characterized by paralysis of the masticatory, facial, pharyngeal, and tongue muscles (the anterior opercular syndrome). The anterior opercular syndrome can occur in patients with herpes simplex encephalitis (HSE), but in most of these patients the diagnosis of HSE was not confirmed. We describe the anterior opercular syndrome in four patients with HSE. In two of these patients, the anterior opercular syndrome dominated the clinical picture, but in the other two patients it was overshadowed by other manifestations of HSE. The diagnosis of HSE was confirmed by detection of herpes simplex virus (HSV) DNA in the CSF (two patients), culture of the HSV from a brain biopsy (one patient), and elevated HSV antibody titers in the CSF (one patient). Our patients made a partial recovery. Acute onset of weakness of masticatory, facial, pharyngeal, and glossal muscles, accompanied by fever, headache, and partial motor seizures of the face should suggest HSE. |
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Authors:
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N M McGrath; N E Anderson; J K Hope; M C Croxson; K F Powell |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurology Volume: 49 ISSN: 0028-3878 ISO Abbreviation: Neurology Publication Date: 1997 Aug |
Date Detail:
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Created Date: 1997-09-17 Completed Date: 1997-09-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 494-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurology, Auckland Hospital, New Zealand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Brain Diseases / diagnosis, etiology Child Encephalitis / complications*, diagnosis, virology* Facial Muscles Female Frontal Lobe* Herpes Simplex* Humans Magnetic Resonance Imaging Masticatory Muscles Paralysis / etiology* Parietal Lobe* Pharyngeal Muscles Syndrome Tongue |
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