KEY CLINICAL MESSAGE:
Opercular syndrome is a rare cortical form of pseudo-bulbar palsy
resulting in voluntary facio-labio-pharyngo-glosso-laryngo-brachial
paralysis with well-preserved automatic and reflex movements. This
report highlights herpes simplex virus as uncommon cause of the
syndrome. Thus, suspicion, timely recognition and appropriate management
are crucial for better outcomes in these patients.
Key words : Insular cortex infarction, herpes simplex virus,
pseudobulbar palsy, focal seizure