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Report of a Case Simulating the Inverted Jaw-Winking Phenomenon of Marin Amat and Review of the Literature

FRANK H. GREGG, M.D.; DAVID GREEN, M.B., B.S. (Melb.)

Arch Ophthalmol. 1961;66(1):86-89.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The following report describes a patient who illustrated the interesting phenomenon of involuntary closure of one eye when opening the mouth. This phenomenon was described by Marin Amat¹ in a patient with a peripheral facial paresis and is sometimes referred to as the Marin Amat syndrome or inverted Marcus Gunn phenomenon. Wartenberg² critically reviewed previously reported cases and concluded that the syndrome appears to follow an infranuclear paralysis of the facial nerve. The inverted or reverse Marcus Gunn phenomenon as defined by Wartenberg⁶ is represented by an involuntary movement of the jaw to the opposite side when the cornea is touched. He believed this to be a release phenomenon associated with a supranuclear lesion of the trigeminal nerve.

Our case presented a history suggestive of recurrent vertebral basilar artery insufficiency but not the usual history of a Bell's palsy.

Report of Case

The patient was a 54-year-old . . . [Full Text PDF of this Article]

Author Affiliations
Iowa City

Resident, Department of Ophthalmology (Dr. Gregg), and Instructor, Department of Neurology (Mr. Green), University Hospitals.

Footnotes
Accepted for publication Dec. 2, 1960.

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