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Journal of Child Neurology
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Medline Plus Health Information
*Encephalitis
*Herpes Simplex
*Paralysis
*Skin Infections
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Acute Pseudobulbar Palsy Due to Bilateral Focal Cortical Damage: The Opercular Syndrome of Foix-Chavany- Marie

Padraic J. Grattan-Smith, MB, BS, MRCP UK, FRACP

Department of Neurology, Royal Children's Hospital, Melbourne, Victoria, Australia

Ian J. Hopkins, MD, BS, FRACP

Department of Neurology, Royal Children's Hospital, Melbourne, Victoria, Australia

Lloyd K. Shield, BSc Med, MB, BS, FRACP

Department of Neurology, Royal Children's Hospital, Melbourne, Victoria, Australia

David W. Boldt, MB, ChB, FRACR

Department of Radiology, Royal Children's Hospital, Melbourne, Victoria, Australia

Two children are described who suddenly developed an encephalitic illness with intractable bilateral facial seizures. The seizures subsided over several days, but the children were left with the signs of pseudobulbar palsy and are unable to speak or swallow effectively. Bilateral destructive lesions in the opercular regions evolved on computed tomographic scans. Both children were treated with acyclovir relatively early in the illness, and cerebrospinal fluid and serum antibodies support the diagnosis of herpes simplex virus encephalitis. (J Child Neurol 1989;4.-131-136).

Journal of Child Neurology, Vol. 4, No. 2, 131-136 (1989)
DOI: 10.1177/088307388900400213
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