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Bilateral Congenital Trigemino-abducens Synkinesis
Arch Ophthalmol. 2003;121:1796-1797.
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To our knowledge, congenital bilateral trigemino-abducens synkinesis has not previously been reported. Herein we report a case in which ipsilateral jaw movement occurred.
Report of a Case.
A 21-year-old man had ipsilateral jaw movement associated with abduction of either eye. The patient had been aware of this phenomenon since early childhood. He was a term infant with a normal vaginal delivery and had no dysmorphic features or developmental delay. There was neither history of orbital or ocular trauma, strabismus, or amblyopia nor family history of a similar phenomenon. On examination, his visual acuity was 6/6 OU and his pupils were 3 mm equal and reactive to light and accommodation. Extraocular movements were full with no nystagmus or widening or narrowing of the palpebral fissures in any position of gaze. On abduction to the left or right, subtle ipsilateral jaw movement was noted (Figure 1). Findings from neurological examination were normal and electomyographic . . . [Full Text of this Article] Comments.
Tze Lai, MBBS(Hons);
Celia Chen, MBBS;
Dinesh Selva, FRANZCO
Adelaide, Australia
Corresponding author and reprints: Dinesh Selva, FRANZO, Oculoplastic & Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000 (e-mail: raheyes@mail.rah.sa.gov.au).
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