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         Congenital Facial Diplegia:     more detail

1. NINDS Mobius Syndrome Information Page
Also known as congenital facial diplegia, an information sheet compiled by NINDS.Category Health Conditions and Diseases Mobius Syndrome......Mobius Syndrome (congenital facial diplegia) information sheet compiled bythe National Institute of Neurological Disorders and Stroke (NINDS).
http://www.ninds.nih.gov/health_and_medical/disorders/mobius.htm
National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health
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Studies with patients Research literature Press releases
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NINDS Mobius Syndrome Information Page
Synonym(s):
Congenital Facial Diplegia
Reviewed 07-01-2001 Get Web page suited for printing
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Table of Contents (click to jump to sections) What is Mobius Syndrome?
Is there any treatment?
What is the prognosis? What research is being done? ... Organizations What is Mobius Syndrome? Is there any treatment? There is no specific course of treatment for Mobius syndrome. Treatment is supportive and symptomatic. Infants may require feeding tubes or special bottles to maintain sufficient nutrition. Surgery may correct strabismus and improve limb and jaw deformities. Physical and speech therapy may improve motor skills and coordination, and help to better control speaking and eating abilities. Plastic reconstructive surgery may be beneficial in some individuals. Also, in a few cases, nerve and muscle transfers (microvascular muscle transplant) to the corners of the mouth have been performed to provide some ability to smile. What is the prognosis?

2. MOEBIUS SYNDROME (CONGENITAL FACIAL DIPLEGIA)
Features Listed For MOEBIUS SYNDROME (congenital facial diplegia). McKusick 157900
http://www.hgmp.mrc.ac.uk/dhmhd-bin/hum-look-up?1149

3. Facial Nerve
Department of Neurology at this medical school offers anatomy and diagnosis information for facial paralysis conditions like Bell's palsy. Follow a diagnosis outline. l MBS1 Chromosome 13q12.2q13; Dominant , or. Clinical. congenital facial diplegia; ± Asymmetric
http://www.neuro.wustl.edu/neuromuscular/nanatomy/vii.htm

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FACIAL NERVE (VII) DISORDERS
Anatomy
Bell's palsy

Differential diagnosis
Facial nerve: Anatomy
  • 2 roots
    • Motor from facial nucleus
    • Nervus intermedius
      • Preganglionic parasympathetics (from superior salivatory nucleus)
    • Major branches
      • Nerve to stapedius
      • Chorda tympani: Taste
      • Motor branches
    • Facial nerve: Anatomical Diagram
    Bell's Palsy
    • Epidemiology
      • Lifetime prevalence: 6.4 per 1,000
      • Incidence: Increased with age
        • Overall: 0.5 per year per 1,000
        • Age 20: 0.1 per year per 1,000
        • Age 80: 0.6 per year per 1,000
      • Male = Female
      • Recurrence: 7%
      • Side: Right in 63%
      • ? Increased incidence with diabetes
    • Clinical Features
      Facial Paresis: Right
      Widened palpebral fissure
      • Onset
        • Paralysis: Progresses over 3 to 72 hours
        • Pain (50%): Near mastoid process
        • Excess tearing (33%)
        • Other: Hyperacusis; Dysgeusia
      • Signs
        • Facial weakness
          • Unilateral Degree: Partial (30%); Complete (70%)
          Stapedius dysfunction (33%): Hyperacusis
        • Lacrimation: mildly affected in some patients
        • Taste: No clinically significant changes in most patients
      • Prognosis better
        • Incomplete paralysis
        • Early improvement
        • Slow progression
        • Younger age
        • Normal salivary flow
        • Normal taste
        • Electrodiagnostic tests normal
          • Nerve excitability
          • Electrogustometry
        • Course
          • Improvement onset: 10 days to 2 months Plateau: 6 weeks to 9 months Residual signs
            • Synkinesis: ~50% Face weakness: 30% Contracture: 20% Crocodile tears: 6%
            Treatment of Bell's palsy
            • Corticosteroids within one week of onset
            • Prednisone 80 mg qd x 5 days; then taper over 1 week

4. The Congenital Facial Diplegia Syndrome Clinical Features, Pathology
The congenital facial diplegia syndrome clinical features, pathology and aetiology Pages 381 403 Part of the OUP Brain WWW service Click here to register with OUP. Last updated 13 May 97
http://www3.oup.co.uk/jnls/supplements/braini/hdb/Volume_62/Issue_04/620381.sgm.
Volume 62: January - December 1939
Issue 4: December 1939
Abstract
  • The congenital facial diplegia syndrome: clinical features, pathology and aetiology
  • JL Henderson Pages: Part of the OUP Brain WWW service
    General Information
    Click here to register with OUP. This page is maintained by OUP admin Last updated 13 May 97 Part of the OUP Journals World Wide Web service Oxford University Press, 1997

    5. Möbius' Syndrome II (www.whonamedit.com)
    Möbius' syndrome II A very rare syndrome characterized by congenital palsy of the external rectus and facial muscles, usually bilateral, associated with paralysis of the sixth and seventh nerves. Also known as Möbius anomalad. abducensfacial paralysis; congenital bulbar paralysis; congenital facial diplegia; congenital facial paralysis; congenital
    http://www.whonamedit.com/synd.cfm/52.html

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    Möbius' syndrome II Also known as:
    Möbius anomalad
    Synonyms:
    Akinesia algera; arthrogryposis; congenital abducens-facial paralysis; congenital bulbar paralysis; congenital facial diplegia; congenital facial paralysis; congenital nuclear agenesis; congenital nuclear aplasia; congenital occulofacial paralysis; congenital paralysis of the sixth and seventh nerves; infantile nuclear aplasia; nuclear agenesis syndrome; oculofacial paralysis syndrome;
    Associated persons: Paul Julius Möbius Description: In this very rare syndrome, the abducens and facial nerves, which originate in the brain stem, may not develop from birth. It is characterized by congenital palsy of the external rectus and facial muscles, usually bilateral, associated with paralysis of the sixth and seventh nerves. The patient has a masklike expression and is unable to abduct the eyes beyond midpoint. Involvement of the jaw may cause feeding problems. Other central nervous system dysfunctions may cause abnormalities in the hands, hips, and feet. The clinical features are not constant. Mental retardation occurs in approximately ten percent of cases. The condition has been observed in siblings and is thought to be genetic. The disorder may have a number of different causes, one author ascribes it to aplasia of the nuclei of the abducens and facial nerves. According to one author it was first described by von Graefe in 1880. However, ince Albrecht von Graefe died in 1870, this probably refers to the textbook by Alfred Graefe and Edwin Theodor Saemisch. It was described by Möbius in 1888 and again in 1892 when he reported 44 cases and applied the term «nuclear atrophy.»

    6. NINDS - News And Events
    Chronic Pain Coffin Lowry Syndrome Coma, including Persistent Vegetative State ComplexRegional Pain Syndrome congenital facial diplegia Congenital Vascular
    http://www.ninds.nih.gov/health_and_medical/news.htm
    National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health
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    7. 1Up Health > Mobius Syndrome [Congenital Facial Diplegia] - Birth Defects & Gene
    Mobius Syndrome congenital facial diplegia. What is the prognosis?
    http://www.1uphealth.com/medical/disease/birth-defects-genetic-disease/mobius-sy
    Home Contact Us Privacy Caring For Your Well Being Alternative Medicine Clinical Trials Health News Poisons ... Health Topics A-Z Search 1Up Health 1Up Health Mobius Syndrome [Congenital Facial Diplegia]
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    Mobius Syndrome [Congenital Facial Diplegia] What is the prognosis? There is no cure for Mobius syndrome. With proper care and treatment many individuals have normal life expectancy, in spite of the severe impairments that characterize the disorder. Previous Next What is Mobius Syndrome?
    Is there any treatment?
    ...
    Mobius Syndrome [Congenital Facial Diplegia]
    Acknowledgement
    National Institute of Neurological Disorders and Stroke (NINDS)
    National Institutes of Health (NIH)
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    Surgery-Procedure Medical Tests More..... Search: The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only they do not constitute endorsements of those other sites. Home Contact Us Privacy Links Directory

    8. Moebius Syndrome (Congenital Facial Diplegia)
    HOME Moebius Syndrome/Sequence (congenital facial diplegia). MOBIUSSYNDROME; congenital facial diplegia; SINDROME DI MOEBIUS. HOME
    http://www.bdid.com/moebius.htm

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    9. 1Up Health > Mobius Syndrome [Congenital Facial Diplegia] - Birth Defects & Gene
    Moebius Syndrome/Sequence (congenital facial diplegia). MOEBIUS SEQUENCE/SYNDROME
    http://www.1uphealth.com/medical/disease/birth-defects-genetic-disease/mobius-sy
    Home Contact Us Privacy Caring For Your Well Being Alternative Medicine Clinical Trials Health News Poisons ... Health Topics A-Z Search 1Up Health 1Up Health Mobius Syndrome [Congenital Facial Diplegia]
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    Mobius Syndrome [Congenital Facial Diplegia]
    What is Mobius Syndrome?

    Is there any treatment?

    What is the prognosis?

    What research is being done?
    ...
    Organizations
    What is Mobius Syndrome? Mobius syndrome, a rare genetic disorder characterized by facial paralysis, is caused by the absence or underdevelopment of the 6th and 7th cranial nerves.
    These nerves control eye movements and facial expression. In newborns, the first symptom is an inability to suck. Excessive drooling and strabismus (crossed eyes) may occur.
    Other symptoms may include lack of facial expression; inability to smile; feeding, swallowing, and choking problems; eye sensitivity; motor delays; high or cleft palate; hearing problems; and speech difficulties.
    Deformities of the tongue, jaw, and limbs, such as club foot and missing or webbed fingers, may also occur. Most patients have low muscle tone, especially in the upper body. Mental retardation may also occur. As children get older, lack of facial expression and inability to smile become the dominant visible symptoms.

    10. Birth Disorder Information Directory - CO-CZ
    Multiple Ocular and Intracranial Anomalies Congenital cystic eye multipleocular and intracranial anomalies. congenital facial diplegia
    http://www.bdid.com/defectco.htm

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    COACH Syndrome Coarctation of (the) Aorta (CoA) Coats' Disease (Congenital Retinal Telangiectasia, Exudative Retinitis, Leber Miliary Aneurysm) Cobb Syndrome Cocaine Antenatal Infection Cochin Jewish Disorder (Haim Munk Syndrome, Keratosis Palmoplantaris Periodontopathia) Cockayne Syndrome COD-MD Syndrome CODAS Syndrome (Cerebrooculodentoauriculoskeletal Syndrome) Coffin Syndrome (Arthritis Short Stature Deafness) Coffin-Lowry Syndrome Coffin Siris Syndrome (Fifth Digit Syndrome) COFS Syndrome Cohen Hayden Syndrome (Proteus-Like Syndrome with Mental Retardation and Eye Defects) Cohen Lockood Wyborney Syndrome (Blepharophimosis Ptosis Syndactyly Mental Retardation) Cohen Syndrome Colavita Kozlowski Syndrome (Short Limb Dwarf, Lethal Colavita Kozlowski Type)

    11. Result Of Search
    1;p;34? MOEBIUS SYNDROME (congenital facial diplegia) 1;p;3436 HYPOPHOSPHATASIA1;p;36 EHLERS-DANLOS SYNDROME TYPE VI 9;p;21 1;p;36? DYSPLASTIC NEVUS SYNDROME.
    http://www.hgmp.mrc.ac.uk/dhmhd-bin/hum-id-look2.pl?1 p

    12. ClinicalTrials.gov - Linking Patients To Medical Research Search
    Query Details. No studies were found for congenital facial diplegia ALLFIELDS.Modify Your Search. Individual Terms, Count. congenital facial diplegia , None.
    http://www.clinicaltrials.gov/search/term=Congenital Facial Diplegia

    13. NINDS Mobius Syndrome Information Page
    Mobius Syndrome (congenital facial diplegia) information sheet compiled by the National Institute of Neurological Disorders and Stroke (NINDS). Synonym(s) congenital facial diplegia. Reviewed 0701-2001
    http://accessible.ninds.nih.gov/health_and_medical/disorders/mobius.htm
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    NINDS Mobius Syndrome Information Page
    Synonym(s): Congenital Facial Diplegia Reviewed 07-01-2001 Get Web page suited for printing
    Email this to a friend or colleague

    Table of Contents (click to jump to sections)
    What is Mobius Syndrome?

    Is there any treatment?

    What is the prognosis?

    What research is being done?
    ...
    Organizations

    What is Mobius Syndrome?
    Is there any treatment?

    14. 1Up Health > Mobius Syndrome [Congenital Facial Diplegia] - Birth Defects & Gene
    Mobius Syndrome congenital facial diplegia . Read detailed informationabout Mobius Syndrome congenital facial diplegia . Includes
    http://www.1uphealth.com/medical/disease/birth-defects-genetic-disease/mobius-sy
    Home Contact Us Privacy Caring For Your Well Being Alternative Medicine Clinical Trials Health News Poisons ... Health Topics A-Z Search 1Up Health 1Up Health
    Diseases and Conditions A B C D ... Z
    Mobius Syndrome [Congenital Facial Diplegia]
    Main Article
    What is Mobius Syndrome?
    Is there any treatment?

    What is the prognosis?

    What research is being done?
    ...
    Organizations

    Search:
    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only they do not constitute endorsements of those other sites. Home Contact Us Privacy Links Directory

    15. EMedicine - Möbius Syndrome : Article Excerpt By: Cheryl Ann Palmer, MD
    Although von Graefe described a case of congenital facial diplegia in 1880, thesyndrome was reviewed and defined further by Möbius in 1888 and 1892.
    http://www.emedicine.com/neuro/byname/möbius-syndrome.htm
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    Excerpt from Möbius Syndrome
    Synonyms, Key Words, and Related Terms: congenital facial diplegia, congenital nuclear agenesis, congenital nuclear hypoplasia, congenital oculofacial paralysis
    Please click here to view the full topic text: Möbius Syndrome
    Background: Möbius syndrome is due, in part, to loss of function of motor cranial nerves. Although von Graefe described a case of congenital facial diplegia in 1880, the syndrome was reviewed and defined further by Möbius in 1888 and 1892. Because of these contributions, Möbius is now the eponym used to describe the syndrome. The definition and diagnostic criteria for Möbius syndrome vary among authors. Both von Graefe and Möbius accepted only cases with both congenital facial diplegia and bilateral abducens nerve palsies as constituting Möbius syndrome. In 1939, Henderson broadened the definition and included cases with congenital unilateral facial palsy. Other authors are more restrictive in attempts to eliminate conditions of a different pathogenesis being labeled as Möbius syndrome. These investigators require the presence of a congenital musculoskeletal anomaly in order to make the diagnosis. Pathophysiology: The complete pathophysiological description of Möbius syndrome remains elusive. Whether nerve, brainstem, or muscle aplasia is the primary event has not been established. Nerves that may be involved include cranial nerves (CN) VI through XII, with general sparing of CN VIII. CN III and CN IV can be involved, but rarely are. The facial nerves (CN VII) are involved in all cases, the abducens nerves (CN VI) in a high percentage of cases (75%), and the hypoglossal nerves (CN XII) in only a minority of cases.

    16. Sues: Volume 62: January - December 1939: Issue 4: December 1939
    GF . Rowbotham Pages 364 380. The congenital facial diplegia syndrome clinicalfeatures, pathology and aetiology. JL . Henderson Pages 381 - 403.
    http://www3.oup.co.uk/jnls/supplements/braini/hdb/Volume_62/Issue_04/
    Volume 62: January - December 1939
    Issue 4: December 1939
    Table of Contents
  • Congenital myotonia in the goat
  • GL Brown and AM Harvey Pages:
  • Observations on the effects of trigeminal denervation
  • GF Rowbotham Pages:
  • The congenital facial diplegia syndrome: clinical features, pathology and aetiology
  • JL Henderson Pages:
  • Dynamics of homonymous hemianopias and preservation of central vision
  • MB Bender and MG Kanzer Pages:
  • Blood changes in dystrophia myotonica
  • JN Cumings and O Maas Pages:
  • A biochemical study of cerebral tissue, and of the changes in cerebral oedema
  • AM Stewart-Wallace Pages: Part of the OUP Brain WWW service
    General Information
    Click here to register with OUP. This page is maintained by OUP admin Last updated 13 May 97 Part of the OUP Journals World Wide Web service Oxford University Press, 1997

    17. Service Page - Pathologie Information
    DISEASE Moebius syndrome, Synonym(s) congenital facial diplegia,CIM Q87.0, Moebius syndrome is a rare developmental disorder from
    http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=GB&Expert=570

    18. ORPHANET® : Moebius Syndrome
    Translate this page ORPHANET. ORPHANET database access. Moebius syndrome. Direct accessto details Alias congenital facial diplegia. Home Page.
    http://www.orpha.net/static/GB/moebius.html
    ORPHANET database access
    Moebius syndrome
    Direct access to details
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    Home Page

    19. Síndrome De Mobius Unilateral
    Translate this page Mobius syndrome The congenital facial diplegia syndrome. Arch Dis Childh. The congenitalFacial diplegia syndrome clinical features, pathology and ethiology.
    http://www.encolombia.com/otorrino28200-sindrome.htm
    Síndrome de mobius unilateral José Alberto Prieto Rivera*, MD.
    Jorge Eduardo Almario**, MD.
    José Eduardo Guzmán***, MD.
    María Fernanda Aragón****, MD. Profesor Asociado Universidad Militar Nueva Granada. Servicio de Otorrinolaringología, Grupo de Otología-Neurotología. Hospital Militar Central. Santafé de Bogotá, Colombia. Profesor Universidad Militar Nueva Granada. Jefe del Servicio de Otorrinolaringología, Grupo de Otología-Neurotología. Hospital Militar Central. Santafé de Bogotá, Colombia. Residente Tercer Nivel Universidad Militar Nueva Granada. Servicio de Otorrinolaringología. Hospital Militar Central. Santafé de Bogotá, Colombia. Residente Segundo Nivel Universidad Militar Nueva Granada. Servicio de Otorrinolaringología. Hospital Militar Central. Santafé de Bogotá, Colombia.
    RESUMEN El síndrome de Mobius es una entidad caracterizada por parálisis del VI y VII par, pudiendo existir compromiso de otros pares craneanos o asociación a alteraciones de la pared torácica, retardo mental y alteraciones de las extremidades. Normalmente es de presentación bilateral, pero puede presentarse en forma unilateral. El presente reporte muestra el caso de una paciente de 15 años de edad quién consulta por presentar parálisis facial congénita unilateral y VI par ipsilateral; siendo estas sus únicas manifestaciones clínicas.

    20. Health Library - Moebius Syndrome
    Synonyms. congenital facial diplegia Syndrome; Congenital Oculofacial Paralysis;Mobius Syndrome; Moebieus Sequence. Disorder Subdivisions. None. General Discussion.
    http://health_info.nmh.org/Library/HealthGuide/IllnessConditions/topic.asp?hwid=

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