Moebius sequence: radiological approximations to molecular disturbances: an overview

Moebius sequence is one of the rarest congenital cranial nerve abnormalities. Approximately 300 cases have been recorded in medical literature usually from single case report. Frequently characterized by either partial or complete agenesis of the VI and VII cranial nerves, Moebius sequence is also a...

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Main Authors: Daniel José Palma-Martínez, Valentina Mejía-Quiñones, Ana María Granados-Sánchez
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320302041
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author Daniel José Palma-Martínez
Valentina Mejía-Quiñones
Ana María Granados-Sánchez
author_facet Daniel José Palma-Martínez
Valentina Mejía-Quiñones
Ana María Granados-Sánchez
author_sort Daniel José Palma-Martínez
collection DOAJ
description Moebius sequence is one of the rarest congenital cranial nerve abnormalities. Approximately 300 cases have been recorded in medical literature usually from single case report. Frequently characterized by either partial or complete agenesis of the VI and VII cranial nerves, Moebius sequence is also accompanied by vascular abnormalities and other alterations such as an aberrant or hypoplastic posterior fossa. We present 3 patients with Moebius sequence and their clinical and radiological features along with a discussion of their diagnostic approximations. The 3 patients (1 male and 2 females) with ages ranging from 24 days to 7 years in both outpatient and inpatient settings in a high complexity health center. Clinical and radiologic diagnosis with magnetic resonance imaging showed to be consistent with Moebius sequence. Moebius sequence initial diagnosis is based exclusively on nonunified clinical criteria, and there is an apparent genetic pattern of inheritance. Diagnostic clues include the child's inability for proper facial expressions, affectations in eye convergence, or diminished functional hearing. A radiological approach through the use of specific MRI sequences is often warranted in order to not only approximate cranial nerve abnormalities but also accompanying structural malformations.
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spelling doaj.art-0484dd433b6946409df8a7f5ed183c232022-12-21T23:44:14ZengElsevierRadiology Case Reports1930-04332020-08-0115812251230Moebius sequence: radiological approximations to molecular disturbances: an overviewDaniel José Palma-Martínez0Valentina Mejía-Quiñones1Ana María Granados-Sánchez2General practitioner, Fundación Valle del Lili, Av. Simón Bolívar - Carrera 98 # 18 - 49, Cali - ColombiaFundación Valle del Lili, Av. Simón Bolívar - Carrera 98 # 18 - 49, Cali, Colombia; Corresponding author.Radiology Department, Fundación Valle del Lili, Cali, ColombiaMoebius sequence is one of the rarest congenital cranial nerve abnormalities. Approximately 300 cases have been recorded in medical literature usually from single case report. Frequently characterized by either partial or complete agenesis of the VI and VII cranial nerves, Moebius sequence is also accompanied by vascular abnormalities and other alterations such as an aberrant or hypoplastic posterior fossa. We present 3 patients with Moebius sequence and their clinical and radiological features along with a discussion of their diagnostic approximations. The 3 patients (1 male and 2 females) with ages ranging from 24 days to 7 years in both outpatient and inpatient settings in a high complexity health center. Clinical and radiologic diagnosis with magnetic resonance imaging showed to be consistent with Moebius sequence. Moebius sequence initial diagnosis is based exclusively on nonunified clinical criteria, and there is an apparent genetic pattern of inheritance. Diagnostic clues include the child's inability for proper facial expressions, affectations in eye convergence, or diminished functional hearing. A radiological approach through the use of specific MRI sequences is often warranted in order to not only approximate cranial nerve abnormalities but also accompanying structural malformations.http://www.sciencedirect.com/science/article/pii/S1930043320302041Moebius sequenceCranial nerveFacial paralysisAbducens paralysisMRICongenital
spellingShingle Daniel José Palma-Martínez
Valentina Mejía-Quiñones
Ana María Granados-Sánchez
Moebius sequence: radiological approximations to molecular disturbances: an overview
Radiology Case Reports
Moebius sequence
Cranial nerve
Facial paralysis
Abducens paralysis
MRI
Congenital
title Moebius sequence: radiological approximations to molecular disturbances: an overview
title_full Moebius sequence: radiological approximations to molecular disturbances: an overview
title_fullStr Moebius sequence: radiological approximations to molecular disturbances: an overview
title_full_unstemmed Moebius sequence: radiological approximations to molecular disturbances: an overview
title_short Moebius sequence: radiological approximations to molecular disturbances: an overview
title_sort moebius sequence radiological approximations to molecular disturbances an overview
topic Moebius sequence
Cranial nerve
Facial paralysis
Abducens paralysis
MRI
Congenital
url http://www.sciencedirect.com/science/article/pii/S1930043320302041
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AT anamariagranadossanchez moebiussequenceradiologicalapproximationstomoleculardisturbancesanoverview