Congenital Trochlear–Oculomotor Synkinesis

Synkinesis of the extraocular muscles forms a subset of congenital ocular motility abnormalities termed congenital cranial dysinnervation disorders. Synkinesis most frequently involves the abducens or oculomotor nerves and rarely the trochlear nerve. Only 3 such patients have been described in the l...

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Published in:	Journal of neuro-ophthalmology Vol. 34; no. 1; pp. 64 - 66
Main Authors:	Bursztyn, Lulu L. C D, Makar, Inas
Format:	Journal Article
Language:	English
Published:	United States by North American Neuro-Ophthalmology Society 01-03-2014
Subjects:	Child Diagnosis, Differential Eye Movements Humans Magnetic Resonance Imaging Male Ocular Motility Disorders - congenital Ocular Motility Disorders - diagnosis Ocular Motility Disorders - physiopathology Oculomotor Muscles - physiopathology Oculomotor Nerve - physiopathology Synkinesis - congenital Synkinesis - diagnosis Synkinesis - physiopathology Trochlear Nerve - physiopathology
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Abstract	Synkinesis of the extraocular muscles forms a subset of congenital ocular motility abnormalities termed congenital cranial dysinnervation disorders. Synkinesis most frequently involves the abducens or oculomotor nerves and rarely the trochlear nerve. Only 3 such patients have been described in the literature. We report an isolated case of trochlear–oculomotor synkinesis in a healthy 6-year-old boy and discuss the proposed pathophysiology of this disorder.
AbstractList	Synkinesis of the extraocular muscles forms a subset of congenital ocular motility abnormalities termed congenital cranial dysinnervation disorders. Synkinesis most frequently involves the abducens or oculomotor nerves and rarely the trochlear nerve. Only 3 such patients have been described in the literature. We report an isolated case of trochlear–oculomotor synkinesis in a healthy 6-year-old boy and discuss the proposed pathophysiology of this disorder.
Author	Makar, Inas Bursztyn, Lulu L. C D
AuthorAffiliation	Department of Ophthalmology, Western University, London, Ontario, Canada
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/24413161$$D View this record in MEDLINE/PubMed
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References_xml	– volume: 92 start-page: 171 year: 1974 ident: R9-17-20210126 article-title: Deglutition-trochlear synkinesis. publication-title: Arch Ophthalmol doi: 10.1001/archopht.1974.01010010177020 contributor: fullname: McLeod – volume: 8 start-page: 571 year: 2004 ident: R4-17-20210126 article-title: Familial ptotic lid elevation during ipsilateral abduction. publication-title: J AAPOS doi: 10.1016/j.jaapos.2004.07.010 contributor: fullname: Khan – volume: 11 start-page: 297 year: 2007 ident: R5-17-20210126 article-title: Ptotic lid elevation during contralateral head tilt. publication-title: J AAPOS doi: 10.1016/j.jaapos.2006.08.018 contributor: fullname: Khan – volume: 9 start-page: 281 year: 1986 ident: R6-17-20210126 article-title: Ptosis palpebral congenital avec syncinesie oculo-palpebral paradoxale. publication-title: J Fr Ophtalmol contributor: fullname: Martorina – volume: 34 start-page: 10 year: 1997 ident: R2-17-20210126 article-title: Congenital ocular aberrant innervationnew concepts. publication-title: J Pediatr Ophthalmol Strabismus doi: 10.3928/0191-3913-19970101-04 contributor: fullname: Freedman – volume: 11 start-page: 204 year: 2007 ident: R8-17-20210126 article-title: Primary superior oblique muscle-levator muscle synkinesis. publication-title: J AAPOS doi: 10.1016/j.jaapos.2006.12.054 contributor: fullname: Kothari – volume: 72 start-page: 167 year: 2012 ident: R11-17-20210126 article-title: Intrinsic properties guide proximal abducens and oculomotor nerve outgrowth in avian embryos. publication-title: Dev Neurobiol doi: 10.1002/dneu.20948 contributor: fullname: Lance-Jones – volume: 31 start-page: 69 year: 2011 ident: R1-17-20210126 article-title: Recent progress in understanding congenital cranial dysinnervation disorders. publication-title: J Neuroophthalmol doi: 10.1097/WNO.0b013e31820d0756 contributor: fullname: Oystreck – volume: 32 start-page: 712 year: 1982 ident: R10-17-20210126 article-title: Aberrant conduction in human peripheral nerve: ephaptic transmission Neurology. contributor: fullname: Tomasulo – volume: 104 start-page: 1489 year: 1986 ident: R3-17-20210126 article-title: Inherited levator-medial rectus synkinesis. publication-title: Arch Ophthalmol doi: 10.1001/archopht.1986.01050220083032 contributor: fullname: Pang – volume: 38 start-page: 179 year: 2001 ident: R7-17-20210126 article-title: Primary levator synkinesis associated with eye movement. publication-title: J Pediatr Ophthalmol Strabismus doi: 10.3928/0191-3913-20010501-14 contributor: fullname: Lim
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SubjectTerms	Child Diagnosis, Differential Eye Movements Humans Magnetic Resonance Imaging Male Ocular Motility Disorders - congenital Ocular Motility Disorders - diagnosis Ocular Motility Disorders - physiopathology Oculomotor Muscles - physiopathology Oculomotor Nerve - physiopathology Synkinesis - congenital Synkinesis - diagnosis Synkinesis - physiopathology Trochlear Nerve - physiopathology
Title	Congenital Trochlear–Oculomotor Synkinesis
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