Medknow Publications on behalf of the Neurological Society of India
Vol. 53, No. 2, 2005, pp. 183-185
Bioline Code: ni05054
Full paper language: English
Document type: Research Article
Document available free of charge
Neurology India, Vol. 53, No. 2, 2005, pp. 183-185
© Copyright 2005 Neurology India.
Isolated dysarthria-facial paresis syndrome: A rare clinical entity which is usually overlooked|
Celebisoy Mehmet, Tokucoglu Figen, Basoglu Mustafa
Background and Aims: The aim of the study is to search the lesion localization of the pure isolated facial paresis-dysarthria syndrome in patients who were admitted to our neurology clinic in a prospective study.
Methods: Over a period of six years, the patients who had no prominent sensorimotor dysfunction were examined by neurologists and underwent computerized tomography (CT) and/or magnetic resonance imaging (MRI).
Results: Eleven patients out of more than 2000 had the aforementioned clinical picture. Lacunar infarctions were identified at the corona radiata in nine patients, and at the internal capsule in two patients. As reported previously, facial paresis was usually mild and temporary. Six of our eleven patients were seen at the outpatient clinic one month later. Four of them had completely recovered and the other two had mild dsyarthria without any facial paresis. The other five could not be reached after leaving the hospital.
Conclusions: Dysarthria-facial paresis is a rare clinical entity and possibly a variation of dysarthria-clumsy hand syndrome, and we suggest that pure facial paresis (FP) and pure dysarthria should be considered as very extreme examples of this syndrome.
Capsular genu, dysarthria, facial paresis, lacunar syndromes
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