Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review

Background : Mobius syndrome is traditionally know as a non-progressive developmental disorder of cranial nerve nuclei mainly the sixth and the seventh nerves. Recent evidences however suggest that it may have an extended spectrum and a variable course. Objective: To describe various clinical feat...

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Main Authors: Thankappan Bindu, Taly A B, Sinha S, Arunodaya G R
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2005-01-01
Series:Annals of Indian Academy of Neurology
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=2;spage=109;epage=112;aulast=Thankappan;type=0
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author Thankappan Bindu
Taly A B
Sinha S
Arunodaya G R
author_facet Thankappan Bindu
Taly A B
Sinha S
Arunodaya G R
author_sort Thankappan Bindu
collection DOAJ
description Background : Mobius syndrome is traditionally know as a non-progressive developmental disorder of cranial nerve nuclei mainly the sixth and the seventh nerves. Recent evidences however suggest that it may have an extended spectrum and a variable course. Objective: To describe various clinical features and pathogenesis of Mobius syndrome. Patients : Clinical profile of three patients with diverse manifestations of Mobius syndrome from a university teaching hospital in South India. Results: The presenting manifestations in the three patients with Mobius syndrome were mono-ocular visual impairment due to ischemic cerebrovascular disease (Patient 1), generalized tonic clonic seizures, delayed speech, bilateral facial, eighth and vagus nerve palsy (Patient 2) and progressive cranial polyneuropathy (Patient 3). Besides disorder of ocular mobility these patients had evidence of multiple morphologic abnormalities viz- polydactyly, high arched palate, clinodactyly, absence of pectoralis major and thoracic scoliosis. CT/MR imaging of the brainstem region were normal. The child with progressive involvement of multiple cranial nerve, and normal imaging of brain particularly posed diagnostic difficulty. Conclusion: Mobius syndrome is perhaps a regional development disorder of the entire brainstem with diverse clinical manifestations, severity and course, depending on the structures involved. Our observation, similar to the other reports, suggest that there is a need to further explore the etiology and pathogenetic link with other morphological abnormalities.
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1998-3549
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spelling doaj.art-dac65a6b4d664af98194e3f033892eb32022-12-21T19:04:17ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492005-01-0182109112Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini ReviewThankappan BinduTaly A BSinha SArunodaya G RBackground : Mobius syndrome is traditionally know as a non-progressive developmental disorder of cranial nerve nuclei mainly the sixth and the seventh nerves. Recent evidences however suggest that it may have an extended spectrum and a variable course. Objective: To describe various clinical features and pathogenesis of Mobius syndrome. Patients : Clinical profile of three patients with diverse manifestations of Mobius syndrome from a university teaching hospital in South India. Results: The presenting manifestations in the three patients with Mobius syndrome were mono-ocular visual impairment due to ischemic cerebrovascular disease (Patient 1), generalized tonic clonic seizures, delayed speech, bilateral facial, eighth and vagus nerve palsy (Patient 2) and progressive cranial polyneuropathy (Patient 3). Besides disorder of ocular mobility these patients had evidence of multiple morphologic abnormalities viz- polydactyly, high arched palate, clinodactyly, absence of pectoralis major and thoracic scoliosis. CT/MR imaging of the brainstem region were normal. The child with progressive involvement of multiple cranial nerve, and normal imaging of brain particularly posed diagnostic difficulty. Conclusion: Mobius syndrome is perhaps a regional development disorder of the entire brainstem with diverse clinical manifestations, severity and course, depending on the structures involved. Our observation, similar to the other reports, suggest that there is a need to further explore the etiology and pathogenetic link with other morphological abnormalities.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=2;spage=109;epage=112;aulast=Thankappan;type=0
spellingShingle Thankappan Bindu
Taly A B
Sinha S
Arunodaya G R
Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
Annals of Indian Academy of Neurology
title Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
title_full Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
title_fullStr Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
title_full_unstemmed Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
title_short Mobius Syndrome Or Brainstem Dysgenesis : Case Description And Mini Review
title_sort mobius syndrome or brainstem dysgenesis case description and mini review
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=2;spage=109;epage=112;aulast=Thankappan;type=0
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AT talyab mobiussyndromeorbrainstemdysgenesiscasedescriptionandminireview
AT sinhas mobiussyndromeorbrainstemdysgenesiscasedescriptionandminireview
AT arunodayagr mobiussyndromeorbrainstemdysgenesiscasedescriptionandminireview