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Lid Closure on Mouth Opening: A Synkinetic Intrafacial Movement

Lid Closure on Mouth Opening: A Synkinetic Intrafacial Movement Abstract A phenomenon of eyelid closure on opening the mouth or with movements of mastication has been described by many.1-7 This synkinesis has been referred to as the "reversed or inverted Marcus Gunn phenomenon." It has also been known as the "Syndrome of Marin Amat." In the Marcus Gunn phenomenon, where the lids open when the mouth is opened, the levator is considered to have neural connections not only with the third nerve nucleus, but also with the external pterygoid part of the fifth nerve nucleus. In the present syndrome the orbicularis oculi was believed by most of the early writers to have intraneural connections between the fifth and seventh cranial nerves. The validity of this explanation has been questioned.3,9,10 Report of Case A 20-year-old Caucasian hospitalman was admitted on April 11, 1960, to the U.S. Naval Hospital, Oakland, complaining of eyewinking while chewing.The past history revealed that References 1. Muller-Kannberg: Eigentumliche Mitbewegung eines ptotischen Lides bei Unterkieferbewegungen , Arzt. Prakt. 7:1177, 1894. 2. Higier, H.: Zur Klinik der eigentumlichen Mitbewegungen des paretischen Lidhebers und Lidschliessers , Deutsch. Z. Nervenheilk. 21:306, 1902.Crossref 3. Schirmer, O.: Associated Movements of the Eyelids , Arch. Ophthal. 46:169 ( (March) ) 1917. 4. Marin Amat, M.: Contribucion al estudio de la curabilidad de las paralisis ocularis de origen traumatico , Arch. Oftal. Hispano-Amer. 18:71, 1918. 5. Marin Amat, M.: Sobre un nuevo caso de "síndrome o fenómeno de Marcus Gunn," Siglo Med. 86:57 ( (July 19) ) 1930. 6. Benoit, M.: Syndrome inverse de Marcus Gunn , Bull. Soc. d'opht. Paris , p. 269, 1926. 7. Zanen, J.: Un cas de syndrome de Marin Amat , Bull. Soc. Belg. Ophtal. 67:75, 1934. 8. Coppez, H.: Le Syndrome de Marin Amat , Bull. Soc. Belg. Ophtal. 65:88, 1932. 9. Wartenberg, R.: "Inverted Marcus Gunn Phenomenon" (So-Called Marin Amat Syndrome) , Arch. Neurol. Psychiat. 60:584 ( (Dec.) ) 1948.Crossref 10. Duke-Elder, W. S.: Text-Book of Ophthalmology , Vol. 5, St. Louis, The C. V. Mosby Company, 1952, p. 5172. 11. Halpern, L.: The Inverted Gunn Phenomenon , Acta Med. Orient. 4:342, 1945. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Lid Closure on Mouth Opening: A Synkinetic Intrafacial Movement

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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.1961.01840020800008
Publisher site
See Article on Publisher Site

Abstract

Abstract A phenomenon of eyelid closure on opening the mouth or with movements of mastication has been described by many.1-7 This synkinesis has been referred to as the "reversed or inverted Marcus Gunn phenomenon." It has also been known as the "Syndrome of Marin Amat." In the Marcus Gunn phenomenon, where the lids open when the mouth is opened, the levator is considered to have neural connections not only with the third nerve nucleus, but also with the external pterygoid part of the fifth nerve nucleus. In the present syndrome the orbicularis oculi was believed by most of the early writers to have intraneural connections between the fifth and seventh cranial nerves. The validity of this explanation has been questioned.3,9,10 Report of Case A 20-year-old Caucasian hospitalman was admitted on April 11, 1960, to the U.S. Naval Hospital, Oakland, complaining of eyewinking while chewing.The past history revealed that References 1. Muller-Kannberg: Eigentumliche Mitbewegung eines ptotischen Lides bei Unterkieferbewegungen , Arzt. Prakt. 7:1177, 1894. 2. Higier, H.: Zur Klinik der eigentumlichen Mitbewegungen des paretischen Lidhebers und Lidschliessers , Deutsch. Z. Nervenheilk. 21:306, 1902.Crossref 3. Schirmer, O.: Associated Movements of the Eyelids , Arch. Ophthal. 46:169 ( (March) ) 1917. 4. Marin Amat, M.: Contribucion al estudio de la curabilidad de las paralisis ocularis de origen traumatico , Arch. Oftal. Hispano-Amer. 18:71, 1918. 5. Marin Amat, M.: Sobre un nuevo caso de "síndrome o fenómeno de Marcus Gunn," Siglo Med. 86:57 ( (July 19) ) 1930. 6. Benoit, M.: Syndrome inverse de Marcus Gunn , Bull. Soc. d'opht. Paris , p. 269, 1926. 7. Zanen, J.: Un cas de syndrome de Marin Amat , Bull. Soc. Belg. Ophtal. 67:75, 1934. 8. Coppez, H.: Le Syndrome de Marin Amat , Bull. Soc. Belg. Ophtal. 65:88, 1932. 9. Wartenberg, R.: "Inverted Marcus Gunn Phenomenon" (So-Called Marin Amat Syndrome) , Arch. Neurol. Psychiat. 60:584 ( (Dec.) ) 1948.Crossref 10. Duke-Elder, W. S.: Text-Book of Ophthalmology , Vol. 5, St. Louis, The C. V. Mosby Company, 1952, p. 5172. 11. Halpern, L.: The Inverted Gunn Phenomenon , Acta Med. Orient. 4:342, 1945.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1961

References