Marcus Gunn Jaw-Winking Syndrome
- PMID: 32644484
- Bookshelf ID: NBK559058
Marcus Gunn Jaw-Winking Syndrome
Excerpt
Marcus Gunn jaw-winking syndrome (MGJWS) is noted in congenital blepharoptosis. MGJWS was first described by a Scottish ophthalmologist Dr.Robert Marcus Gunn in the year 1883. This syndrome was initially reported in a 15-year-old girl as unilateral ptosis associated with the upper eyelid contraction on the same side. Other names of MGJWS include Marcus-Gunn jaw winking phenomenon (MGP), Marcus Gunn ptosis, Marcus Gunn jaw winking trigemino-oculomotor synkinesis, Maxillopalpebral synkinesis, and Pterygoid-levator synkinesis. It is one of the congenital cranial dysinnervation disorders (CCDD), and these individuals have variable degrees of blepharoptosis in the resting, primary position. It is associated with synkinetic movements of the upper eyelid during masticating movements of the jaw. It is usually unilateral but may present bilaterally also.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Staging
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Traboulsi EI. Congenital cranial dysinnervation disorders and more. J AAPOS. 2007 Jun;11(3):215-7. - PubMed
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- Shah AD, Kumar AB, Kothari K. Bilateral Marcus Gunn jaw winking synkinesis with monocular elevation deficiency: a case report and literature review. Int Ophthalmol. 2012 Apr;32(2):199-201. - PubMed
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- Weaver RG, Seaton AD, Jewett T. Bilateral Marcus Gunn (jaw-winking) phenomenon occurring with CHARGE association. J Pediatr Ophthalmol Strabismus. 1997 Sep-Oct;34(5):308-9. - PubMed
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- Demirci H, Frueh BR, Nelson CC. Marcus Gunn jaw-winking synkinesis: clinical features and management. Ophthalmology. 2010 Jul;117(7):1447-52. - PubMed