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Platysma-Levator Synkinesis in Congenital Third Nerve Palsy

Platysma-Levator Synkinesis in Congenital Third Nerve Palsy Abstract Congenital third nerve palsy is an uncommon condition that may result from perinatal trauma to the peripheral oculomotor nerve or from brainstem injury in utero.1 Several reports have documented oculomotor synkinesis in this condition, which may produce elevation of the ptotic eyelid on attempted depression or adduction of the affected eye.1 We describe a patient with an unusual congenital third nerve palsy who had episodic upper-eyelid elevation caused by a platysma-levator synkinesis. Report of a Case. —A 4-year-old girl was referred for evaluation of a right congenital third nerve palsy. Although there was no history of birth trauma or forceps delivery, she had a birthmark on the right side of her forehead until age 1 year. A previous neurologic examination disclosed no other abnormalities. Results of a high-resolution magnetic resonance scan of the head and orbits with gadolinium enhancement were normal.Corrected visual acuity was 20/100 OD and References 1. Balkan R, Hoyt CS. Associated neurologic abnormalities in congenital third nerve palsies . Am J Ophthalmol . 1984;97:315-319. 2. Brazis P. The localization of lesions affecting cranial nerve VII (the facial nerve) . In: Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology . Boston, Mass: Little Brown & Co Inc; 1985:175. 3. Schwarz GA. A note on an unusual facio-ocular synkinesis . Arch Neurol . 1962;6:358-365.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Platysma-Levator Synkinesis in Congenital Third Nerve Palsy

Brodsky, Michael C.
Archives of Ophthalmology , Volume 109 (5) – May 1, 1991
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Platysma-Levator Synkinesis in Congenital Third Nerve Palsy

Abstract

Abstract Congenital third nerve palsy is an uncommon condition that may result from perinatal trauma to the peripheral oculomotor nerve or from brainstem injury in utero.1 Several reports have documented oculomotor synkinesis in this condition, which may produce elevation of the ptotic eyelid on attempted depression or adduction of the affected eye.1 We describe a patient with an unusual congenital third nerve palsy who had episodic upper-eyelid elevation caused by a platysma-levator...
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080050026017
Publisher site
See Article on Publisher Site

Abstract

Abstract Congenital third nerve palsy is an uncommon condition that may result from perinatal trauma to the peripheral oculomotor nerve or from brainstem injury in utero.1 Several reports have documented oculomotor synkinesis in this condition, which may produce elevation of the ptotic eyelid on attempted depression or adduction of the affected eye.1 We describe a patient with an unusual congenital third nerve palsy who had episodic upper-eyelid elevation caused by a platysma-levator synkinesis. Report of a Case. —A 4-year-old girl was referred for evaluation of a right congenital third nerve palsy. Although there was no history of birth trauma or forceps delivery, she had a birthmark on the right side of her forehead until age 1 year. A previous neurologic examination disclosed no other abnormalities. Results of a high-resolution magnetic resonance scan of the head and orbits with gadolinium enhancement were normal.Corrected visual acuity was 20/100 OD and References 1. Balkan R, Hoyt CS. Associated neurologic abnormalities in congenital third nerve palsies . Am J Ophthalmol . 1984;97:315-319. 2. Brazis P. The localization of lesions affecting cranial nerve VII (the facial nerve) . In: Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology . Boston, Mass: Little Brown & Co Inc; 1985:175. 3. Schwarz GA. A note on an unusual facio-ocular synkinesis . Arch Neurol . 1962;6:358-365.Crossref

Journal

Archives of Ophthalmology – American Medical Association

Published: May 1, 1991

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