Opercular cheiro-oral syndrome.

Details

Serval ID
serval:BIB_EFE6070A93A4
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Opercular cheiro-oral syndrome.
Journal
Archives of Neurology
Author(s)
Bogousslavsky J., Diserens K., Regli F., Despland P.A.
ISSN
0003-9942 (Print)
ISSN-L
0003-9942
Publication state
Published
Issued date
1991
Volume
48
Number
6
Pages
658-661
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Perioral and distal upper limb sensory dysfunction (cheiro-oral syndrome) has classically been attributed to cortical involvement. In previously reported cases of the syndrome, caused by stroke, however, the thalamus or brain stem has been the actual site of the lesion. We have studied two patients with infarct in the superficial middle cerebral artery territory involving the parietal operculum. Sensory involvement was purely subjective in the face, but severe hypoesthesia was present in the distal upper limb, involving mainly position sense, stereognosis, and graphesthesia. Temperature and pain sensation were involved in one patient. These findings correlated with involvement of the lower part of the postcentral gyrus, more caudal parts of the parietal operculum, and underlying white matter. This opercular cheiro-oral syndrome seems more uncommon than faciobrachiocrural hemihypesthesia associated with anterior parietal artery territory infarct. A double supply to the parietal opercular region through branches of the temporal arteries and anterior parietal artery may explain the rarity of cheiro-oral syndrome resulting from hemisphere stroke, because simultaneous and partial compromise to two different pial artery networks is uncommon.
Keywords
Aged, Cerebral Infarction/complications, Cerebral Infarction/physiopathology, Female, Humans, Infarction/physiopathology, Male, Middle Aged, Nervous System Diseases/etiology, Nervous System Diseases/physiopathology, Parietal Lobe/physiopathology, Sensation, Syndrome, Thalamus/blood supply
Pubmed
Web of science
Create date
25/01/2008 12:40
Last modification date
20/08/2019 17:17
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