A Rare Cause Of Facial Paralysis: Moebius Syndrome
SAMET ÖZER, SERAP BİLGE, RESUL YILMAZ, VEHBİ DOĞAN, SELİM DEMİR, ERKAN GÖKÇE
- Year : 2016
- Vol : 32
- Issue : Ek
- Page :
34-36
Moebius syndrome is a rare, non-progressive congenital
syndrome presenting with complete or partial facial paralysis. It is
usually associated with orofacial malformations, musculoskeletal
defects, brainstem dysplasia, and other cranial nerve palsies. Mean
incidence is 2-20/million, although there is considerable regional
variation. The most common presentation is with bilateral lateral
rectus palsies and facial diplegia. Frequently, the 5th, 10th, 11th and
12th cranial nerves are involved and may cause cough, difficulty in
chewing and swallowing, and respiratory insufficiency. Complete or
partial facial nerve palsy is necessary for a diagnosis of Moebius
syndrome. A 4-month-old girl was brought to our clinic with complaints
of inability to close her right eye completely and internal deviation in
that eye, beginning from birth. She had micrognathia and an inability
to completely close the right eye. Both eyes were turned inwards
during primary gaze. She had limited lateral gaze, a pes equinovarus
deformity in her feet, and flap ears. Cranial magnetic resonance
imaging was performed because of the dysmorphic features and
revealed micrognathia and volume loss at the tongue. Bilateral facial
nerves could not be visualised by a 3D FIESTA scan, suggesting
bilateral facial nerve agenesis. This case is presented to highlight
Moebius syndrome in the differential diagnosis of cases presenting
with congenital facial weakness.
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None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
grant full access to the primary data and, if requested by the magazine
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A Rare Cause Of Facial Paralysis: Moebius Syndrome
2016,
Vol.
32
(Ek)
Received : 24.11.2014,
Accepted : 24.11.2014,
Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;