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马库斯-冈恩下颌瞬目现象:一例罕见的眼面联带运动病例报告

Marcus-Gunn Jaw-Winking Phenomenon: A Case Report on Rare Oculofacial Synkinesis.

作者信息

Alharthe Amjad Fiusal H, Alghreeb Hagar Mohammad, ALBalawi Hani B, ALAli Naif M

机构信息

Division of Ophthalmology, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.

Department of Ophthalmology, Neem Medical Center, Tabuk, Kingdom of Saudi Arabia.

出版信息

Int Med Case Rep J. 2025 Aug 18;18:1053-1056. doi: 10.2147/IMCRJ.S520496. eCollection 2025.

Abstract

The Marcus-Gunn jaw-winking phenomenon (MGJWP) is an uncommon congenital oculofacial synkinesis resulting from abnormal innervation between the fifth cranial nerve (trigeminal, CN V) and the third cranial nerve (oculomotor, CN III). This case report presents a 5-month-old girl with characteristic left eyelid elevation during suckling movements, highlighting the importance of clinical observation in early diagnosis. The condition was confirmed based on clinical findings, with no associated neurological or structural abnormalities. Management involved observation and follow-up to monitor potential complications such as strabismus or anisometropia. MGJWP remains an essential consideration in cases of unusual eyelid movement, emphasizing the role of multidisciplinary consultation for comprehensive care.

摘要

马库斯-冈恩下颌瞬目现象(MGJWP)是一种罕见的先天性眼面联带运动,由第五颅神经(三叉神经,CN V)和第三颅神经(动眼神经,CN III)之间的异常神经支配引起。本病例报告介绍了一名5个月大的女孩,在吸吮动作时出现特征性的左眼睑上抬,强调了临床观察在早期诊断中的重要性。根据临床发现确诊了该病症,未发现相关的神经或结构异常。治疗措施包括观察和随访,以监测斜视或屈光参差等潜在并发症。MGJWP在异常眼睑运动的病例中仍然是一个重要的考虑因素,强调了多学科会诊在综合治疗中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/12372824/fdd3b4b4a7e8/IMCRJ-18-1053-g0001.jpg

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