Bilateral perisylvian syndrome not related to malformations: report of two cases

Grasel, Ralf Paulo; Carvalho Neto, Arnolfo; Bruck, Isac; Antoniuk, Sérgio A.

doi:10.1590/S0004-282X1996000200018

Abstracts

In this case report we present the neuroimaging findings and clinical features of two patients with a bilateral perisylvian syndrome not related to malformations, but probably to ischemic etiology. Evaluations including history, general and neurologic examinations, electroencephalograms, and imaging data were reviewed as recent literature about the subject.

bilateral perisylvian syndrome; pseudobulbar paralysis; CT-scan; magnetic resonance imaging

Neste relato de caso, apresentamos os achados de neuroimagem e os aspectos clínicos de dois pacientes com síndrome peri-silviana bilateral não relacionada a malformações, mas provavelmente a uma etiologia isquêmica. Avaliações, incluindo história, exames físico e neurológico, eletrencefalograma e aspectos de imagem foram revistos, assim como a literatura recente sobre o assunto.

síndrome peri-silviana bilateral; paralisia pseudobulbar; tomografia computadorizada; imagem por ressonância magnética

Bilateral perisylvian syndrome not related to malformations: report of two cases

Sindrome peri-silviana bilateral não relacionada a malformações: relato de dois casos

Ralf Paulo Grasel^I; Arnolfo Carvalho Neto^II; Isac Bruck^III; Sérgio A. Antoniuk^III

^IMédico Residente do Serviço de Radiologia do Hospital de Clínicas (HC) da Universidade Federal do Paraná (UFPR)

^IIProfessor-Auxiliar da Disciplina de Radiologia do HC/UFPR

^IIIProfessor-Assistente no Serviço de Neuropediatria do Departamento de Pediatria do HC/UFPC

ABSTRACT

In this case report we present the neuroimaging findings and clinical features of two patients with a bilateral perisylvian syndrome not related to malformations, but probably to ischemic etiology. Evaluations including history, general and neurologic examinations, electroencephalograms, and imaging data were reviewed as recent literature about the subject.

Key words:bilateral perisylvian syndrome, pseudobulbar paralysis, CT-scan, magnetic resonance imaging.

RESUMO

Neste relato de caso, apresentamos os achados de neuroimagem e os aspectos clínicos de dois pacientes com síndrome peri-silviana bilateral não relacionada a malformações, mas provavelmente a uma etiologia isquêmica. Avaliações, incluindo história, exames físico e neurológico, eletrencefalograma e aspectos de imagem foram revistos, assim como a literatura recente sobre o assunto.

Palavras-chave:síndrome peri-silviana bilateral, paralisia pseudobulbar, tomografia computadorizada, imagem por ressonância magnética.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Acknowledgement -We thank Ms. Monica de Paula Cecatto for her thorough review of this English form.

Aceite: 16-fevereiro-1996.

Dr. Arnolfo Carvalho Neto - Serviço de Radiologia, Hospital de Clínicas UFPR - Rua General Carneiro 181 -80060-150 Curitiba PR - Brasil.

1. Barkovich J, Gressens P, Evrard P. Formation, maturation, and disorders of brain neocortex. Am J Neuroradiol 1992;13:423-446
2. Besson G, Bogousslavsky J, Regli F, Maeder P. Acute pseudobulbar or supranuclear palsy. Arch Neurol 1991;48:501-507
3. Foix C, Chavany J, Marie J. Diplégie facio-línguo-pharingo-masticatrices d'origene cortico-sous-corticale sans paralysie des membres. Rev Neurol 1926;33:214-219
4. Graff-Radford NR, Bosch EP, Stears JC, Tranel D. Developmental Foix-Chavany-Marie syndrome in identical twins. Ann Neurol 1986;20:632-635
5. Kuzniecky R, Andreman F, Tampieri D, Melanson D, Olivier A, Leppik I. Bilateral central macrogyria: epilepsy, pseudobulbar palsy, and mental retardation: a recognizable neuronal migration disorder. Ann Neurol 1989;25:547-554
6. Kuzniecky R, Andermann F et al. The congenital bilateral perisylvian syndrome: imaging findings in multicenter study. Am J Neuroradiol 1994;15:139-144.
7. Mariani C, Spinnler H, Sterzi R, Vallar G. Bilateral perisylvian softenings: bilateral anterior opercular syndrome (Foix-Chavany-Marie syndrome). J Neurol 1980;223:269-284
8. Moodley M, Bamber S. The operculum syndrome: an unusual complication of tuberculous meningitis. Dev Med Child Neurol 1990;32:919-922
9. Prats J M, Garaizar C, Uterga J M, Urroz M J. Operculum syndrome in childhood: a rare cause of persistent speech disturbance. Dev Med Child Neurol 1992;34:359-364
10. Thurel R. Les pseudobulbaires: étude clinique et anatomopathologique. These. Paris: Jouve 1929.

Publication Dates

Publication in this collection
06 Dec 2010
Date of issue
June 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Barkovich J, Gressens P, Evrard P. Formation, maturation, and disorders of brain neocortex. Am J Neuroradiol 1992;13:423-446

[2] 2. Besson G, Bogousslavsky J, Regli F, Maeder P. Acute pseudobulbar or supranuclear palsy. Arch Neurol 1991;48:501-507

[3] 3. Foix C, Chavany J, Marie J. Diplégie facio-línguo-pharingo-masticatrices d'origene cortico-sous-corticale sans paralysie des membres. Rev Neurol 1926;33:214-219

[4] 4. Graff-Radford NR, Bosch EP, Stears JC, Tranel D. Developmental Foix-Chavany-Marie syndrome in identical twins. Ann Neurol 1986;20:632-635

[5] 5. Kuzniecky R, Andreman F, Tampieri D, Melanson D, Olivier A, Leppik I. Bilateral central macrogyria: epilepsy, pseudobulbar palsy, and mental retardation: a recognizable neuronal migration disorder. Ann Neurol 1989;25:547-554

[6] 6. Kuzniecky R, Andermann F et al. The congenital bilateral perisylvian syndrome: imaging findings in multicenter study. Am J Neuroradiol 1994;15:139-144.

[7] 7. Mariani C, Spinnler H, Sterzi R, Vallar G. Bilateral perisylvian softenings: bilateral anterior opercular syndrome (Foix-Chavany-Marie syndrome). J Neurol 1980;223:269-284

[8] 8. Moodley M, Bamber S. The operculum syndrome: an unusual complication of tuberculous meningitis. Dev Med Child Neurol 1990;32:919-922

[9] 9. Prats J M, Garaizar C, Uterga J M, Urroz M J. Operculum syndrome in childhood: a rare cause of persistent speech disturbance. Dev Med Child Neurol 1992;34:359-364

[10] 10. Thurel R. Les pseudobulbaires: étude clinique et anatomopathologique. These. Paris: Jouve 1929.