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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Acute bilateral opercular strokes causing loss of emotional facial movements.
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Acute bilateral opercular strokes causing loss of emotional facial movements.

机译：急性双侧操作性中风会引起面部情感运动的丧失。

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摘要

The classic anterior opercular syndrome of Foix-Chavany-Marie presents with loss of voluntary facial, pharyngeal, lingual, and mastication movements, with preservation of emotional and automatic movements. Most commonly, sequential strokes affecting bilateral opercula cause this syndrome. The inverse clinical presentation, with selective loss of emotional facial movements, has only rarely been reported, and is less well-localized. CASE REPORT: We report a case of selective loss of emotional facial movements which resulted from bilateral acute infarcts. No etiology was discovered, and the syndrome was reversible. DISCUSSION: The available literature, and findings in this case, suggest that voluntary and automatic facial movements have distinct pathways, and damage to the insula bilaterally may lead to the selective loss of emotional facial movements. The clinical presentation of this inverse automatic/voluntary dissocation needs to be recognized as a rare syndrome with bilateral localization, so that patients at higher risk of further stroke can quickly be identified.
机译：Foix-Chavany-Marie的经典前眼部手术综合征表现为自愿性面部，咽，舌和咀嚼运动的丧失，并保留了情绪和自动运动。最常见的是，影响双侧的连续性中风会导致这种综合征。反向临床表现，面部情感运动选择性丧失，仅鲜有报道，且定位不充分。病例报告：我们报告了一例因双侧急性梗死而选择性丧失情绪面部运动的病例。没有发现病因，并且该综合征是可逆的。讨论：在这种情况下，现有文献和发现表明，自愿的和自动的面部运动有不同的途径，双侧岛的损伤可能导致情感性面部运动的选择性丧失。这种逆向自动/自愿解除的临床表现需要被认为是一种罕见的伴有双侧局限性的综合征，以便可以迅速识别出发生进一步中风的较高风险的患者。

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