Marcus Gunn jaw-winking syndrome

In 1883 Marcus Gunn described a girl with an usual form of congenital ptosis. The syndrome is characterized by a winking movement of the ptotic eyelid with movement of the jaw. In this case, as others, a video is worth a thousand words! The mother of this patient was kind enough to give permission to share this video with others so others can learn about this rare condition. David Malitz, MD

Category:

Education

Tags:

• Ptosis
• Marcus
• Gunn
• Jaw-winking

[4PRK]

Great comments! Yes third division of fifth cranial nerve and 7th nerve.

[DareDevilTen]

Did you die???

[jameeljo]

Yes, this video worths 1,000 words! Thanks Doctor!

[Nikup33]

I'm Nikki 35yrs old. I was diagnosed with Marcus Gunn when I was a few months old. There were no surgeries in for it but in 1979 when i was 3 I was lucky enough to find an amazing surgeon at Johns Hopkins(Dr.Nicholas Iliff,check him out) who created a surgery called a Bi-lateral Sling to help correct(not cure) my condition . The sling helps with the drooping of the eye.

[Bichons9]

A Full STORY On SQUIDOO "MY LITTLE STAR" takes you through what you need to know about the syndrome!!!

[horrorluver565]

I have this too

i never knew it had a name to it until i went to an eye exam recently

[220Shawn]

I actually have this...I've heard this its very rare. I've also hear that you can grow out of it? I don't know too much about it

[jock10171017]

Its synkinesis of the III and V3 (third and fifth), not V3 and VII or III and VII.

III = levator palpebrae superioris

V3 = Pterygoid mm

Its other name is "Trigemino-oculomotor synkinesis"

Recall that the LPS elevates the eyelid. So when the mouth is opened, the LPS also contracts, raising the eyelid. The patient has ptosis at rest because there is no tonic innervation to the ipsilateral LPS to keep it open.