Right frontal opercular restricted diffusion diagnosed as acute opercular infarct in Foix-Chavany-Marie syndrome

An 81-year-old right-handed man presented with acute sound volume loss, inability to swallow and speak, inability to move his tongue, and difficulty chewing food. His past medical history was remarkable for a prior stroke, diabetes mellitus, hypertension, and coronary artery disease. Four years previously he had a right hemiparesis but recovered fully. Diffusion-weighted magnetic resonance imaging demonstrating right frontal opercular restricted diffusion diagnosed as acute opercular infarct (R: Right, L: Left). (Source: Milanlioglu A, Aydın MN, Gökgül A, Hamamcı M, Erkuzu MA, Tombul T. Ischemic bilateral opercular syndrome. Case Rep Med 2013;2013:513572. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)