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Abnormal Associated Lid Movements Following Seventh Nerve Paresis: Report of a Case Simulating the Inverted Jaw-Winking Phenomenon of Marin Amat and Review of the Literature

Abnormal Associated Lid Movements Following Seventh Nerve Paresis: Report of a Case Simulating... Abstract 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 References 1. Marin Amat, M.: Sur le syndrome ou phénomène de Marcus Gunn , Ann. d' Ocul. 156:513-528, 1919. 2. Wartenberg, R.: Inverted Marcus Gunn Phenomenon , Arch. Neurol. & Psychiat. 60:584-596, 1948. 3. Friedman, A. J.: The Marin Amat Syndrome: Report of a Case , Bull. Los Angeles Neurol. Soc. 22:145-148, 1957. 4. Walsh, F. B.: Clinical Neuro-Ophthalmology , Ed. 2, Baltimore, The Williams & Wilkins Company, 1957, p. 203. 5. Wartenberg, R.: Associated Movements in the Oculomotor and Facial Muscles , Arch. Neurol. & Psychiat. 55:439-488, 1946. 6. Wartenberg, R.: Winking-Jaw Phenomenon , Arch. Neurol. & Psychiat. 59:734-753, 1948. 7. Schultz, R. O., and Burian, H. M.: Bilateral Jaw Winking Reflex in Association with Multiple Congenital Anomalies , Arch. Ophth. 64:946-949, 1960. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Abnormal Associated Lid Movements Following Seventh Nerve Paresis: Report of a Case Simulating the Inverted Jaw-Winking Phenomenon of Marin Amat and Review of the Literature

Archives of Ophthalmology , Volume 66 (1) – Jul 1, 1961

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1961.00960010088019
Publisher site
See Article on Publisher Site

Abstract

Abstract 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 References 1. Marin Amat, M.: Sur le syndrome ou phénomène de Marcus Gunn , Ann. d' Ocul. 156:513-528, 1919. 2. Wartenberg, R.: Inverted Marcus Gunn Phenomenon , Arch. Neurol. & Psychiat. 60:584-596, 1948. 3. Friedman, A. J.: The Marin Amat Syndrome: Report of a Case , Bull. Los Angeles Neurol. Soc. 22:145-148, 1957. 4. Walsh, F. B.: Clinical Neuro-Ophthalmology , Ed. 2, Baltimore, The Williams & Wilkins Company, 1957, p. 203. 5. Wartenberg, R.: Associated Movements in the Oculomotor and Facial Muscles , Arch. Neurol. & Psychiat. 55:439-488, 1946. 6. Wartenberg, R.: Winking-Jaw Phenomenon , Arch. Neurol. & Psychiat. 59:734-753, 1948. 7. Schultz, R. O., and Burian, H. M.: Bilateral Jaw Winking Reflex in Association with Multiple Congenital Anomalies , Arch. Ophth. 64:946-949, 1960.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1961

References