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