| Bilateral perisylvian infarct: a rare cause and a rare occurrence. | |
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MedLine Citation:
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PMID: 21552775 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Foix-Chavany-Marie opercular syndrome is a severe form of pseudobulbar palsy occurring due to bilateral anterior opercular lesions. We report a case of a 51-year-old man with sudden onset of inability to speak and dysphagia, and a history of synovial sarcoma of the right hand. Detailed language evaluation was normal. The patient had right upper motor neuron facial paresis and absent gag reflex bilaterally. Magnetic resonance (MR) imaging revealed acute and subacute infarcts involving the bilateral insular cortex. Two-dimensional echocardiography and cardiac MR imaging showed a mobile mass in the left atrium attached to the interatrial septum, which was likely a myxoma. Chest radiograph and computed tomography imaging of the chest revealed multiple cannonball shadows that were suggestive of secondaries in the lung. The probable cause of the cerebral lesions was the mass lesion in the heart or metastatic lesions from the synovial sarcoma. The cardiac surgeon and surgical oncologist recommended palliative care. |
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Authors:
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A Singh; M P Kate; M D Nair; C Kesavadas; T R Kapilamoorthy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Singapore medical journal Volume: 52 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-05-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
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Languages: eng Pagination: e62-5 Citation Subset: IM |
Affiliation:
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Fortis Hospital, B-22, Sector-62, Noida (Delhi-NCR), Uttar Pradesh 201301, India. chandkesav@yahoo.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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