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Foix–Marie–Chavany syndrome is a clinical disorder characterized by faciopharyngoglossomasticatory weakness and loss of voluntary control of facial movements with preserved automatic and emotional motility. It is classically associated with bilateral anterior opercular lesions. Trismus is defined as tonic contraction of the muscles of mastication and can be caused by neuroleptic-induced dystonia, tetanus, basal ganglia disorders, acute infection, idiopathic dystonia, neoplasm, or as a complication of radiation therapy. Though hand dystonia associated with bilateral opercular lesions has been reported,1 trismus associated with Foix–Marie–Chavany syndrome is atypical. We report a patient with trismus and automatic-voluntary dissociation of facial movements after bilateral opercular infarcts.
Case report.
A 41-year-old right-handed woman, with a history of tobacco use, past cocaine use (>10 years ago), and elevated cholesterol, experienced sudden onset dysarthria and left arm and leg numbness and weakness. Her medical history was notable for cryptogenic strokes in the left insula, left temporal-parietal, and right frontal territories 5 years prior to admission. …
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