Strabismus. 2025 Nov 25:1-4. doi: 10.1080/09273972.2025.2593518. Online ahead of print.
ABSTRACT
INTRODUCTION: Brown syndrome involves restricted elevation in adduction due to superior oblique tendon anomalies. Marcus-Gunn jaw-winking Syndrome (MGJWS) is a congenital synkinesis between jaw movement and eyelid elevation. Their coexistence along with ptosis in the same eye is extremely rare.
METHODS: We report a case of an 8-year-old girl presenting with right eye motility restriction consistent with findings of Brown Syndrome along with MGJWS and ptosis.
RESULTS: The patient showed right hypotropia with limited elevation in adduction, consistent with Brown syndrome. Ptosis resolved with mouth opening or jaw movement, consistent with MGJWS.
DISCUSSION: This is the first pediatric report of Brown syndrome with ipsilateral MGJWS and ptosis. The combination of mechanical restriction and dysinnervation underscores the complexity of congenital cranial dysinnervation disorders and highlights the importance of thorough clinical evaluation.
PMID:41288019 | DOI:10.1080/09273972.2025.2593518
