Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement

Foix-Chavany-Marie syndrome, also known as opercular syndrome, is a rare neurological condition typically caused by bilateral lesions of the opercular cortex. Involvement of arachnoid cysts in the pathogenesis is extremely uncommon. We report the case of a 66-year-old male who presented with sudden-...

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Main Authors: Qian You, MD, Zhigang Ma, MB, Lirong Yan, MM, Ying Li, MD, Hongtao Hu, MD
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003760
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author Qian You, MD
Zhigang Ma, MB
Lirong Yan, MM
Ying Li, MD
Hongtao Hu, MD
author_facet Qian You, MD
Zhigang Ma, MB
Lirong Yan, MM
Ying Li, MD
Hongtao Hu, MD
author_sort Qian You, MD
collection DOAJ
description Foix-Chavany-Marie syndrome, also known as opercular syndrome, is a rare neurological condition typically caused by bilateral lesions of the opercular cortex. Involvement of arachnoid cysts in the pathogenesis is extremely uncommon. We report the case of a 66-year-old male who presented with sudden-onset dysarthria, dysphagia, and bilateral lower facial paralysis, but retained the ability to yawn and smile, demonstrating the characteristic dissociation between voluntary and involuntary orofacial movements. Magnetic resonance imaging revealed an acute infarction in the left corona radiata and a right-sided arachnoid cyst, leading to a diagnosis of Foix-Chavany-Marie syndrome. This case highlights a classic presentation of Foix-Chavany-Marie syndrome with a potentially novel pathogenic contribution from an arachnoid cyst.
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issn 1930-0433
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publishDate 2025-09-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-5356bf2c85f74918bd87c32ce675bc2f2025-08-20T03:17:03ZengElsevierRadiology Case Reports1930-04332025-09-012094658466010.1016/j.radcr.2025.04.077Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvementQian You, MD0Zhigang Ma, MB1Lirong Yan, MM2Ying Li, MD3Hongtao Hu, MD4Department of Neurology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaCorresponding author.; Department of Neurology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaFoix-Chavany-Marie syndrome, also known as opercular syndrome, is a rare neurological condition typically caused by bilateral lesions of the opercular cortex. Involvement of arachnoid cysts in the pathogenesis is extremely uncommon. We report the case of a 66-year-old male who presented with sudden-onset dysarthria, dysphagia, and bilateral lower facial paralysis, but retained the ability to yawn and smile, demonstrating the characteristic dissociation between voluntary and involuntary orofacial movements. Magnetic resonance imaging revealed an acute infarction in the left corona radiata and a right-sided arachnoid cyst, leading to a diagnosis of Foix-Chavany-Marie syndrome. This case highlights a classic presentation of Foix-Chavany-Marie syndrome with a potentially novel pathogenic contribution from an arachnoid cyst.http://www.sciencedirect.com/science/article/pii/S1930043325003760Foix-Chavany-Marie syndromeOpercular syndromeArachnoid cystCerebral infarction
spellingShingle Qian You, MD
Zhigang Ma, MB
Lirong Yan, MM
Ying Li, MD
Hongtao Hu, MD
Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
Radiology Case Reports
Foix-Chavany-Marie syndrome
Opercular syndrome
Arachnoid cyst
Cerebral infarction
title Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
title_full Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
title_fullStr Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
title_full_unstemmed Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
title_short Foix-Chavany-Marie syndrome: A rare presentation with arachnoid cyst involvement
title_sort foix chavany marie syndrome a rare presentation with arachnoid cyst involvement
topic Foix-Chavany-Marie syndrome
Opercular syndrome
Arachnoid cyst
Cerebral infarction
url http://www.sciencedirect.com/science/article/pii/S1930043325003760
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