Management of morderatetosevere marcusgunn syndrome by. The wink phenomenon may be elicited by opening the mouth, thrusting the jaw to the side, jaw protrusion, chewing, smiling, or sucking. The patient presented with synkinetic eyelid movements accompanying jaw and ocular movements, including marcus gunn phenomenon eyelid elevation at mouth opening in the right eye, inverse marcus. Pupillary light reflex, swinging flashlight test, marcus gunn pupil, direct light reflex, consensual light reflex, direct light pupillary reflex loss, relative afferent pupillary defect, afferent pupillary defect, pupil reactivity. Orthoptic department information sheet marcus gunn jaw. Optic nerve compromise is part of the clinical picture of tuberous sclerosis. This page includes the following topics and synonyms. The marcus gunn pupil is a relative afferent pupillary defect indicating a decreased pupillary response to light in the affected eye. The marcus gunn robert marcus gunn syndrome or phenomenon was described by the author of the same name in 1883, in a case report published in the transactions of ophtalmologic society uk, according to citation of timothy w. Rapd, relative afferent pupillary defect, marcus gunn pupil duration.
Click on the image or right click to open the source website in a new browser window. Marcus gunn phenomenon, is an autosomal dominant condition with incomplete penetrance, in which nursing infants will have rhythmic upward jerking of their upper eyelid. Adie syndrome, also known as holmesadie syndrome, is a neurological disorder characterized by a tonically dilated pupil that reacts slowly to light but shows a more definite response to accommodation i. Marcus gunn pupil a change in the pupillary reflex, caused by unilateral optic nerve or retinal disease. O restante do exame fisico, incluindo exame neurologico, estava normal. Marcus gunn phenomenon is an autosomal dominant condition with incomplete penetrance, in which nursing infants will have rhythmic upward jerking of their. It is frequently seen in females with absent knee or ankle jerks and impaired sweating.
Marcus gunn pupil definition of marcus gunn pupil by. Media in category robert marcus gunn the following 2 files are in this category, out of 2 total. Here, a left marcus gunn pupil or relative afferent pupillary defect is seen in a 22yearold woman with the disease. Inverse marcus gunn phenomenon is the opposite of marcus gunn phenomenon where the eyelid drops on moving the jaw. English spanish online dictionary tureng, translate words and terms with different pronunciation options. The causes of marcus gunn syndrome this condition occurs when the third cranial nerve, which normally supplies messages to the upper eye lid, also sends messages to the jaw muscles. Marcus gunn fenomenosindrome sincinesia pupilasigno.
Features of marcus gunn syndrome the child will have one slightly droopy eye lid ptosis which tends to go up and. In the swinging flashlight test, a light is alternately shone into the left and right eyes. It is usually present at birth and may occur with other eye abnormalities. Marcus gunn phenomenon is a rare condition characterized by movement of the upper eyelid in a rapid rising motion a wink each time the jaw moves. A normal response would be equal constriction of both pupils, regardless of which eye the light is directed at. Dr justiniano zea, neurooftalmologia, limaperu dr justiniano zea. Argyll robertson pupils ar pupils or, colloquially, prostitutes pupils are bilateral small pupils that reduce in size on a near object i. If you need this document in an alternative format, for example, large print, braille or a language other than english, please contact the communications office by email.
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