Opercular cheiro-oral syndrome.

Détails

ID Serval
serval:BIB_EFE6070A93A4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Opercular cheiro-oral syndrome.
Périodique
Archives of Neurology
Auteur(s)
Bogousslavsky J., Diserens K., Regli F., Despland P.A.
ISSN
0003-9942 (Print)
ISSN-L
0003-9942
Statut éditorial
Publié
Date de publication
1991
Volume
48
Numéro
6
Pages
658-661
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
25/01/2008 12:40
Dernière modification de la notice
20/08/2019 17:17
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