Anterior opercular syndrome

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Anterior opercular syndrome. There is loss of voluntary control of mouth opening and eye closure. Fully referenced neurology checklist.

Clinical features

  • There is loss of voluntary control of mouth opening and eye closure
  • This may manifest as impaired swallowing and frowning
  • It is characterised by mutism
  • Automatic shouting and smiling are preserved

Structural causes

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Infective causes

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Synonyms

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References

  1. Mao CC, Coull BM, Golper LAC, Rau MT. Anterior opercular syndrome. Neurology 1989; 39:1169-1172.
  2. Bursaw A, Duginski T. Anterior opercular syndrome caused by acute, simultaneous, isolated bilateral infarcts. Arch Neurol 2011; 68:254-255.
  3. Desai DS, Patel D, Bharani S, Kharod N. Opercular syndrome: A case report and review. J Pediatr Neurosci 2013; 8:123–125.
  4. McGrath NM, Anderson NE, Hope JK, Croxson MC, Powell KF. Anterior opercular syndrome, caused by herpes simplex encephalitis. Neurology 1997; 49:494-497.
  5. Matsushima T, Nishioka K, Tanaka R, Yokoyama K, Hattori N. Anterior opercular syndrome induced by Epstein-Barr virus encephalitis. Neurocase 2016; 22:103-108.

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