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Rare case of pseudobulbar palsy: subopercular syndrome
  1. Thet Thet Soe,
  2. Navraj Chattha and
  3. Afzal Mahmood
  1. Stroke, Maidstone and Tunbridge Wells NHS Trust, Maidstone, UK
  1. Correspondence to Dr Thet Thet Soe; drsoethet{at}


We present a case of a 73-year-old man who developed sudden onset dysarthria, dysphagia and bilateral facial weakness with automato-voluntary dissociation, which deteriorated rapidly to anarthria and aphonia within a few days. MRI scan of the head showed acute infarct in right internal capsule and an old infarct in the left corona radiata while the rest of the investigations were normal. Based on these findings, diagnosis was thought to be subopercular syndrome. He recovered significantly in a few weeks’ time.

  • neuroimaging
  • stroke
  • neuromuscular disease
  • physiotherapy (rehabilitation)

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  • Contributors TTS was involved in selecting the case, taking care of the patient, collecting and organising the data, analysing the data, doing the research for the report and preparing, writing and editing the report. NC was involved in selecting the case, taking care of the patient, analysing the data and editing the report. AM was involved in analysing the data and editing the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.