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Departments of Neurology and Nuclear Medicine, Edith Wolfson Medical Center, Holon; Tel Aviv University, Tel Aviv, Israel
Correspondence: For correspondence or reprints contact: Yair Lampl, MD, Dept. of Neurology, Edith Wolfson Medical Center, Holon 58100 Israel
ABSTRACT
The aim of this case report was to present a patient with complete anarthria and orofacial apraxia without other relevant neurological deficit. The clinical features are compatible with anterior operculum syndrome. Methods: A regional brain perfusion scan was done using 99mTc-HMPAO and a SPECT gamma camera. A brain CT scan and an MRI were also performed. Results: Brain CT and MRI were not diagnostic. On brain SPECT, hypoperfusion of the left inferior area of the frontal lobe was noted. Conclusion: The patient studied showed an uncommon case of anterior operculum syndrome of focal degenerative origin localized by SPECT. SPECT may be a useful and effective method for diagnosis of this unusual neurological deficit.
Key Words: anterior operculum syndrome orofacial apraxia anarthria SPECT isolated cortical atrophy
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