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         Congenital Facial Diplegia:     more detail

21. Facial Nerve
congenital facial diplegia; ± Asymmetric; Ophthalmoplegia, esp VI nerve;Mental retardation; ± Peripheral neuropathy; Skeletal Arthrogryposis;
http://www.neuro.wustl.edu/neuromuscular/nanatomy/vii.htm

Front
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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)
    • Branches
      • Nerve to stapedius muscle
      • Chorda tympani: Taste
      • Sensory auricular branch
        • Some axons may arise from vagus (Arnold's nerve)
        Motor: Facial muscles
    • Facial nerve: Anatomical Diagram
    • External link
      Facial nerve paralysis: Signs
      • Facial asymmetry Eyebrow droop Drooping of corner of mouth Uncontrolled tearing Inability to close eye Lips cannot be held tightly together: Diificulty keeping food in mouth Facial muscle atrophy (Late)

      Facial Paresis: Left
      Bell's Palsy
      Sir Charles Bell
      • Epidemiology
        • Lifetime prevalence: 6.4 to 20 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: Diabetes; Pregnant females
      • Pathogenesis
        • Evidence for herpes simplex type 1 infection
        Clinical Features
        • Onset
          • Paralysis: Progresses to maximal defecit over 3 to 72 hours
          • Pain (50%): Near mastoid process
          • Excess tearing (33%)
          • Other: Hyperacusis; Dysgeusia

22. ScienceDaily -- Browse Topics: Health/Conditions_and_Diseases/Genetic_Disorders/
Mobius Syndrome Also known as congenital facial diplegia, an information sheetcompiled by NINDS. MCW Healthlink Mobius Syndrome - Details about this
http://www.sciencedaily.com/directory/Health/Conditions_and_Diseases/Genetic_Dis
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23. ScienceDaily -- Browse Topics: Health/Child_Health/Conditions_and_Diseases/Conge
congenital facial diplegia Congenital Heart Disease Congenital MusculoskeletalDisorders Congenital Nephroblastoma Congenital Pain Insensitivity
http://www.sciencedaily.com/directory/Health/Child_Health/Conditions_and_Disease
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Detecting Brain Infections Without Surgery (September 7, 2005) full story Marijuana-derived Drug Suppresses Bladder Overactivity And Irritation In Animal Models (September 6, 2005) full story A New Player In The Battle Against Hepatitis Prevents Inflammation And The Death Of Liver Cells (September 5, 2005) full story Pinpointing The Cause Of A Neurodegenerative Disorder (August 30, 2005) full story Gender Hormones May Lend To Social Disorder Therapies (August 29, 2005) full story Scientists Listen To Brain Patterns Of Tone-deafness (August 29, 2005) full story Neurotransmitter Orexin Associated With Pleasure And Reward Pathways In The Brain (August 28, 2005) full story Researchers Find Evidence For 'Tanning Addiction' (August 27, 2005)

24. %601471 FACIAL PARESIS, HEREDITARY, CONGENITAL; HCFP1
(1967) observed congenital facial diplegia in 3 generations of a family.Masaki (1971) reported father and a son and daughter with bilateral facial
http://srs.sanger.ac.uk/srsbin/cgi-bin/wgetz?[omim-ID:601471] -e

25. %157900 MOEBIUS SYNDROME; MBS
(1977) observed congenital facial diplegia and flexion finger contractures in 7members of 3 Neuro, congenital facial diplegia; Cranial nerve VI palsy;
http://srs.sanger.ac.uk/srsbin/cgi-bin/wgetz?[omim-ID:157900] -e

26. Neurology -- Sign In Page
congenital facial diplegia due to nuclear lesion. Rev Neurol Psychiatry 1903;1149–155 . The spectrum of congenital facial diplegia (Möbius syndrome).
http://www.neurology.org/cgi/content/full/64/4/649
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Verzijl et al. Neurology.
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Anterior nerve cell disease
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27. Neuroguide.com - Human Neurological Diseases
congenital facial diplegia. * Mobius Syndrome Information (NINDS) CongenitalFacial Diplegia, Corticobasal Degeneration, Cranial Arteritis
http://www.neuroguide.com/cgi-bin/pdistoc.pl?file=CongenitalFacialDiplegia

28. Neuroguide.com - Human Neurological Diseases
Unexplained Facial Pain Medical resources for the treatment of Trigeminal congenital facial diplegia, Corticobasal Degeneration, Cranial Arteritis
http://www.neuroguide.com/cgi-bin/pdistoc.pl?file=trigeminal

29. Moebius Syndroom
Moebius syndroom. Synoniemen congenital facial diplegia Congenital OculofacialParalysis Moebieus Sequence. Korte beschrijving
http://www.erfelijkheid.nl/zena/moebi.php

A
B C D ... OVERIG
Moebius syndroom Synoniemen
Congenital Facial Diplegia
Congenital Oculofacial Paralysis
Moebieus Sequence Korte beschrijving
Het Moebius syndroom is een aangeboren aandoening. Het wordt gekenmerkt door een uitdrukkingsloos gezicht. Twee van de twaalf hoofdzenuwen werken niet goed, namelijk de zenuwen die de oogbewegingen en gezichtsexpressie besturen. Vaak werken ook andere zenuwen niet helemaal goed. Er zijn nog andere symptomen die bij het Moebius Syndroom kunnen voorkomen, zoals: kaakvervormingen, afwijkingen aan de tong, slikproblemen, scheelkijken, klompvoeten en handafwijkingen. Soms gaat Moebius samen met een verstandelijke beperking of, in een enkel geval, autisme. Moebius gaat soms samen met de Pierre Robin sequentie Diagnose
Het Moebius syndroom kan worden vermoed op grond van bovenstaande verschijnselen. Maar omdat het zeer weinig voorkomt, wordt het niet altijd herkend. Behandeling
Het Moebius syndroom is niet te genezen. De gelaatsuitdrukking kan door plastische chirurgie verbeterd worden. Ook kunnen aandoeningen aan de ledematen en scheel kijken gecorrigeerd worden. Fysiotherapie kan helpen bij het ontwikkelen van de gezichtsmotoriek. Voorkomen (frequentie)
In Nederland worden ongeveer 4 à 5 kinderen per jaar met het Moebius syndroom geboren.

30. Mobius Syndrome
. This book has been created for......congenital facial diplegia Syndrome; Congenital Oculofacial Paralysis; MobiusSyndrome; Moebieus Sequence.
http://www.icongrouponline.com/health/Mobius_Syndrome.html
ICON Health Publications
Official Health Sourcebooks Search ICON Health Titles: The Official Parent's Sourcebook
on
MOBIUS SYNDROME

(Congenital Facial Diplegia Syndrome; Congenital Oculofacial Paralysis; Mobius Syndrome; Moebieus Sequence) Revised and Updated for the Internet Age P A P E R B A C K Paperback Book Shipped in 3 to 5 business days
E B O O K Electronic File * E-Book version sent via e-mail in 2 business days Pages Price $28.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on . Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Congenital Facial Diplegia Syndrome; Congenital Oculofacial Paralysis; Mobius Syndrome; Moebieus Sequence Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Mobius Syndrome: Guidelines Overview What Is Mobius Syndrome? Is There Any Treatment? What Is the Prognosis? What Research Is Being Done? Selected References For More Information More Guideline Sources Vocabulary Builder Chapter 2. Seeking Guidance

31. Health/Conditions And Diseases/Genetic Disorders/Mobius Syndrome -- The Doctors
Also known as congenital facial diplegia, an information sheet compiled by NINDS.url www.ninds.nih.gov/health_and_medical/disorders/mob.
http://www.thedoctorslounge.net/dir/Health/Conditions_and_Diseases/Genetic_Disor
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  • report abuse/spam url: report-abuse.dmoz.org/?cat=Health/Conditions_and_D... About.com with Laura L. Jelliffe, Ph.D. Symptoms, diagnosis, and treatment of mobius syndrome. Information on research, community outreach and support. url: genetics.about.com/science/genetics/library/blmob.... MCW Healthlink: Mobius Syndrome Details about this disease, including what it is, the causes, symptoms and treatment options. url: healthlink.mcw.edu/article/921441372.html Mobius Syndrome Also known as congenital facial diplegia, an information sheet compiled by NINDS. url: www.ninds.nih.gov/health_and_medical/disorders/mob... Moebius Syndrome Foundation Bringing together information from and links to medical and lay support for those affected by Moebius syndrome. url: www.ciaccess.com/moebius/
  • 32. The Laryngoscope - UserLogin
    Although unlikely, an incomplete congenital facial diplegia could conceivably bemissed The spectrum of congenital facial diplegia (Moebius syndrome).
    http://www.laryngoscope.com/pt/re/laryngoscope/fulltext.00005537-199804000-00011
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    33. Mobius Syndrome
    Mobius syndrome, congenital facial diplegia with restriction of lateral eyemovements, was first described by von Graefe in 1880 (von Graefe 1880).
    http://www.medlink.com/PublicCIP.ASP?access=public&UID=MLT000HD&code=

    34. Mobius Syndrome
    Synonym(s) congenital facial diplegia. What is Mobius Syndrome? Mobius syndrome,a rare genetic disorder characterized by facial paralysis,
    http://www.clevelandclinic.org/health/health-info/docs/1300/1307.asp?index=6064&

    35. Journal Of Craniofacial Surgery - UserLogin
    Henderson J. The congenital facial diplegia syndrome clinical features, pathologyand Engler R, Oetgen W, Hyman L. congenital facial diplegia (Moebius
    http://www.jcraniofacialsurgery.com/pt/re/jcransurg/fulltext.00001665-200309000-
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    36. Entrez PubMed
    A 13year-old boy with autosomal-dominant congenital facial diplegia was evaluatedby electrophysiol
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2

    37. Entrez PubMed
    Pathogenetic considerations on congenital facial diplegia Article in ItalianDi Tizio A, D Ambrosi D. MeSH Terms Abducens Nerve/abnormalities*
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=5

    38. Möbius' Syndrome II (www.whonamedit.com)
    Akinesia algera; arthrogryposis; congenital abducensfacial paralysis; congenitalbulbar paralysis; congenital facial diplegia; congenital facial paralysis;
    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.

    39. Leslie
    med8589 327 The spectrum of congenital facial diplegia (Moebius syndrome).med75-79 327 Moebius syndrome. med93-95 326 Congenital syndromes of oculomotor
    http://neuro-www.mgh.harvard.edu/neurowebforum/ChildNeurologyArticles/Leslie.htm
    Leslie
    This response submitted by Dr. Shawn K. Centers on 12/19/96. Author's Email: Dear Leslie:
    Although previuosly it was thought that there was an agenesis ( failure to develop )of the control centers for the cranial nerves ( especially cranial nerve VI and VII) some of the recent research seems to call this into question. If there is complete agenesis this means that there is no possibility of the facial paralysis improving or worsening. One recent report describes muscle recruitment measured by EMG studies in two Moebius patients following treatment with simple physical therapy. In another report there is described improvement in facial paralysis using biofeedback techniques
    (the patients were both children). The Miami Project in FL seems to be the center that is doing the most research with biofeedback training in muscle paralysis. There is also a research center in England who claims to have gotten improvement in muscle hypotonia and facial paralysis using a type of tactile kinesthetic stimulation using "brushing technique" wirth a number of Moebius patients (mostly children). As of yet their research is unpublished. There are likewise reports of a Moebius patient's paralysis worsening and thought to be caused by a superimposed Bell's Palsy. When I was younger I recieved treatment at the Michigan State University
    We really have very little to offer them at this time in terms of treatment. With better information we may be able to offer some suggestions

    40. Mobius Syndrome Topic - Unified Search Environment
    CONGENITAL NUCLEAR APLASIA DXP/SY/NOCODE congenital facial diplegia SYNDROMEDXP/SY/NOCODE PARALYSIS, OCULOFACIAL, CONGENITAL DXP/SY/NOCODE
    http://www.use.hcn.com.au/portals/shared/subject.`Mobius Syndrome`/home.html
    Mobius Syndrome Topic Tree Definition:
    A syndrome of congenital facial paralysis, frequently associated with abducens palsy and other congenital abnormalities including lingual palsy, clubfeet, brachial disorders, cognitive deficits, and pectoral muscle defects. Pathologic findings are variable and include brain stem nuclear aplasia, facial nerve aplasia, and facial muscle aplasia, consistent with a multifactorial etiology. (Adams et al., Principles of Neurology, 6th ed, p1020) Synonyms and Source Vocabularies:
    Mobius Syndrome
    CONGENITAL NUCLEAR APLASIA
    CONGENITAL FACIAL DIPLEGIA SYNDROME
    PARALYSIS, OCULOFACIAL, CONGENITAL
    Moebius Congenital Oculofacial Paralysis
    Hypoglossia-hypodactyly syndrome Congenital Abnormality

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