{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T15:01:10Z","timestamp":1776351670583,"version":"3.51.2"},"reference-count":15,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,8]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Carotid artery dissection is one of the most common causes of ischaemic stroke in young and middle-aged population. We report a case of bilateral carotid artery dissection presenting with opercular syndrome or Foix-Chavany-Marie syndrome. This 46-year-old obese and hypertensive man with a history of fall from bike 1\u2009week prior, presented with sudden onset of anarthria, dysphagia and deviation of angle of mouth. His speech and dysphagia gradually improved over 10 days to normal, but he developed pseudobulbar affect and difficulty in calculations 4\u2009weeks later. MRI showed acute infarcts in bilateral operculum. CT angiography showed dissection in bilateral cervical ICAs. He was managed conservatively with oral anticoagulation, given for 6\u2009months. Probability of dissection must be considered in patients with a history of trauma or falls developing focal neurological deficits. To our knowledge, this is the first case report of bilateral ICA dissection presenting with Foix-Chavany-Marie syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2020-239080","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T15:46:41Z","timestamp":1606751201000},"page":"e239080","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Rare case of bilateral carotid artery dissection presenting with Foix-Chavany-Marie syndrome"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7173-8035","authenticated-orcid":false,"given":"Rajveer","family":"Singh","sequence":"first","affiliation":[{"name":"Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0954-5475","authenticated-orcid":false,"given":"Alex","family":"Rebello","sequence":"additional","affiliation":[{"name":"Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nandita","family":"Prabhat","sequence":"additional","affiliation":[{"name":"Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dheeraj","family":"Khurana","sequence":"additional","affiliation":[{"name":"Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"2025082802185395000_13.11.e239080.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"2025082802185395000_13.11.e239080.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70084-5"},{"key":"2025082802185395000_13.11.e239080.3","doi-asserted-by":"crossref","DOI":"10.5812\/archneurosci.26670","article-title":"Cervical artery dissection: a review of the epidemiology, pathophysiology, treatment, and outcome","volume":"2","author":"Blum","year":"2015","journal-title":"Arch Neurosci"},{"key":"2025082802185395000_13.11.e239080.4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.57.11.1443"},{"key":"2025082802185395000_13.11.e239080.5","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.65531"},{"key":"2025082802185395000_13.11.e239080.6","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2004.040543"},{"key":"2025082802185395000_13.11.e239080.7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2006.106831"},{"key":"2025082802185395000_13.11.e239080.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2015.10.044"},{"key":"2025082802185395000_13.11.e239080.9","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.29.12.2646"},{"key":"2025082802185395000_13.11.e239080.10","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000244486.30455.71"},{"key":"2025082802185395000_13.11.e239080.11","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000188883.26456.2a"},{"key":"2025082802185395000_13.11.e239080.12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/513572","article-title":"Ischemic bilateral opercular syndrome","volume":"2013","author":"Milanlioglu","year":"2013","journal-title":"Case Rep Med"},{"key":"2025082802185395000_13.11.e239080.13","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/BF00869006","article-title":"Brain SPECT in anterior opercular syndrome due to a unilateral lesion","volume":"243","author":"Kutluay","year":"1996","journal-title":"J Neurol"},{"key":"2025082802185395000_13.11.e239080.14","article-title":"Bi-opercular syndrome: a case report and minireview","volume":"8","author":"Praveen-Kumar","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"2025082802185395000_13.11.e239080.15","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0b013e318247cd15"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:19:01Z","timestamp":1756372741000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":15,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,30]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2020-239080"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239080","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}