{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:21Z","timestamp":1753862901847,"version":"3.41.2"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Unilateral opercular lesions can result in Foix\u2013Chavany\u2013Marie syndrome, which is marked by acute anarthria, automatic\u2010voluntary movement dissociation\u2014most notably the absence of voluntary facial and tongue movements\u2014and a generally better prognosis. Better patient outcomes are mostly dependent on early detection, management, and rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Opercular syndrome is a rare neurological disorder caused by bilateral or unilateral lesions of the operculum that result in symptoms related to speech and swallowing difficulties with dissociation of automatic\u2010voluntary movements in affected muscles. 78\u2010year\u2010old female presented with acute onset dysarthria, left sided facial deviation and difficulties in chewing, speaking, and swallowing. CT head revealed ischemic changes in left frontal operculum and was diagnosed with the unilateral opercular syndrome. The case was managed according to ischemic stroke protocol. The patient was discharged after 7\u2009days of hospital stay, with MRS 2, NIHSS 9 and secondary stroke preventive measures. At 4\u2009months follow\u2010up, her MRS was 1, with mild dysarthria, that could be understood, and her swallowing improved to some amount of drooling while feeding. Early recognition, treatment, and rehabilitation play important role in prompt improvement of symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8392","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T07:58:10Z","timestamp":1704268690000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Foix\u2013Chavany\u2013Marie syndrome due to unilateral opercular infarction\u2014A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7151-4901","authenticated-orcid":false,"given":"Pramodman Singh","family":"Yadav","sequence":"first","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-8465","authenticated-orcid":false,"given":"Leeza","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Chitwan Medical College and Teaching Hospital  Chitwan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4288-060X","authenticated-orcid":false,"given":"Anusha","family":"Rayamajhi","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6933-7136","authenticated-orcid":false,"given":"Binod","family":"Mehta","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Raj","family":"Bhurtel","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratik","family":"Adhikari","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Shrestha","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sashank","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences  Dharan Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.12890\/2021_002462"},{"issue":"2","key":"e_1_2_12_3_1","first-page":"85","article-title":"Bilateral Anterior Opercular Syndrome","volume":"65","author":"Sequeira R","year":"2017","journal-title":"J Assoc Physicians India"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1745.117842"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"145","article-title":"Opercular syndrome: case reports and review of literature","volume":"15","author":"Thapa L","year":"2010","journal-title":"Neurology Asia"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000503856"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2021.1878976"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1155\/1998\/423645"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T03:55:08Z","timestamp":1706846108000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ccr3.8392"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8392","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8392"}}