Bilateral operculum syndrome in childhood

Nóra Szabó, Ágnes Hegyi, Márta Boda, Margit Páncsics, Csenge Pap, Kristóf Zágonyi, Éva Romhányi, S. Túri, L. Sztriha

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We describe 3 patients with bilateral operculum syndrome. They presented with various degrees of suprabulbar (pseudobulbar) signs in addition to delay in cognitive, motor, and speech development in 2 children and developmental language disorder in the third one. A patient with schizencephaly in the left perisylvian area and contralateral polymicrogyria had spastic hemiparesis on the right side, whereas another patient showed bilateral underdevelopment of the opercula in association with axial hypotonia and spastic diplegia. Both of them had epileptiform discharges on the electroencephalogram without clinical manifestations of seizures. The magnetic resonance imaging of the third child with developmental language disorder was normal; however, his electroencephalogram showed frequent bilateral subclinical centrotemporal epileptiform discharges, probably responsible for the speech delay. Structural or functional involvement of the opercula bilaterally was a common finding in all the 3 patients and they had symptoms similar to those described in the developmental type of Foix-Chavany-Marie and Worster-Drought syndromes.

Original languageEnglish
Pages (from-to)544-550
Number of pages7
JournalJournal of Child Neurology
Volume24
Issue number5
DOIs
Publication statusPublished - 2009

Fingerprint

Language Development Disorders
Electroencephalography
Child Language
Muscle Hypotonia
Muscle Spasticity
Paresis
Cerebral Palsy
Seizures
Magnetic Resonance Imaging

Keywords

  • Benign childhood epilepsy with centrotemporal (Rolandic) spikes
  • Developmental language disorder
  • Opercular underdevelopment
  • Operculum
  • Perisylvian polymicrogyria
  • Schizencephaly
  • Suprabulbar (pseudobulbar) paresis

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

Szabó, N., Hegyi, Á., Boda, M., Páncsics, M., Pap, C., Zágonyi, K., ... Sztriha, L. (2009). Bilateral operculum syndrome in childhood. Journal of Child Neurology, 24(5), 544-550. https://doi.org/10.1177/0883073808327841

Bilateral operculum syndrome in childhood. / Szabó, Nóra; Hegyi, Ágnes; Boda, Márta; Páncsics, Margit; Pap, Csenge; Zágonyi, Kristóf; Romhányi, Éva; Túri, S.; Sztriha, L.

In: Journal of Child Neurology, Vol. 24, No. 5, 2009, p. 544-550.

Research output: Contribution to journalArticle

Szabó, N, Hegyi, Á, Boda, M, Páncsics, M, Pap, C, Zágonyi, K, Romhányi, É, Túri, S & Sztriha, L 2009, 'Bilateral operculum syndrome in childhood', Journal of Child Neurology, vol. 24, no. 5, pp. 544-550. https://doi.org/10.1177/0883073808327841
Szabó N, Hegyi Á, Boda M, Páncsics M, Pap C, Zágonyi K et al. Bilateral operculum syndrome in childhood. Journal of Child Neurology. 2009;24(5):544-550. https://doi.org/10.1177/0883073808327841
Szabó, Nóra ; Hegyi, Ágnes ; Boda, Márta ; Páncsics, Margit ; Pap, Csenge ; Zágonyi, Kristóf ; Romhányi, Éva ; Túri, S. ; Sztriha, L. / Bilateral operculum syndrome in childhood. In: Journal of Child Neurology. 2009 ; Vol. 24, No. 5. pp. 544-550.
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