Bilateral incyclotorsion, absent facial nerve, and anotia: fellow travelers in Möbius sequence or oculoauriculovertebral spectrum?
We report a patient with bilateral incyclotorsion, asymmetric facial palsy, monocular depression deficiency, and unilateral Type 3 Duane syndrome, along with contralateral anotia and a midline cleft palate. A dysplastic middle ear cavity and unilateral absence of the facial nerve were noted on magnetic resonance imaging scanning. The differential diagnosis includes Möbius sequence, oculoauriculovertebral spectrum, and a congenital cranial dysinnervation disorder.
Pandey
Pramod Kumar
PK
Guru Nanak Eye Centre, Maulana Azad Medical College, University of Delhi, New Delhi, India.
Shroff
Daraius
D
Kapoor
Seema
S
Kaur
Navjot
N
Srivastava
Nandan
N
Jain
Priyanka
P
Garg
Deepali
D
D000010:Abducens Nerve / Q000002:abnormalities; D000328:Adult; D004370:Duane Retraction Syndrome / Q000175:diagnosis*; D004431:Ear, External / Q000002:abnormalities*; D005154:Facial Nerve / Q000002:abnormalities*; D005155:Facial Nerve Diseases / Q000175:diagnosis*; D005158:Facial Paralysis / Q000175:diagnosis; D006053:Goldenhar Syndrome / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020331:Mobius Syndrome / Q000175:diagnosis*