2004
DOI: 10.3349/ymj.2004.45.1.157
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Goldenhar's Syndrome (Oculo-Auriculo-Vertebral Dysplasia) with Congenital Facial Nerve Palsy

Abstract: Goldenhar's Syndrome (oculo-auriculo-vertebral dysplasia) is a wide spectrum of congenital anomalies that involves structures arising from the first and second branchial arches. In this report, a case of a male infant, with the features of hemi facial microsomia, anotia, vertebral anomalies, congenital facial nerve palsy and lagophthalmos is described. Although the syndrome itself is not uncommon, the presence of congenital facial nerve palsy, which has been reported in rare cases, prompted this case report.

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Cited by 40 publications
(32 citation statements)
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“…Apart from the triad of features this syndrome may also present heart diseases (5-58% of the patients) (8), hypoplasia of the zygomatic, mandibular and maxillary bones, muscle hypoplasia, anatomical and morphological abnormalities of the tongue, vertebral anomalies, cleft palate, disturbance of the central nervous system and other visceral anomalies (9,10). Craniofacial anomalies, including mandibular, zygomatic and/or maxillary hypoplasias are found in 50% of patients with Goldenhar syndrome (11,12). The differential diagnosis of Goldenhar syndrome can be challenging because of the variety of clinical signs overlapping other conditions like Collins and Wildervanck syndrome (syndrome cervico oculoacusticum) which can be considered.…”
Section: Discussionmentioning
confidence: 99%
“…Apart from the triad of features this syndrome may also present heart diseases (5-58% of the patients) (8), hypoplasia of the zygomatic, mandibular and maxillary bones, muscle hypoplasia, anatomical and morphological abnormalities of the tongue, vertebral anomalies, cleft palate, disturbance of the central nervous system and other visceral anomalies (9,10). Craniofacial anomalies, including mandibular, zygomatic and/or maxillary hypoplasias are found in 50% of patients with Goldenhar syndrome (11,12). The differential diagnosis of Goldenhar syndrome can be challenging because of the variety of clinical signs overlapping other conditions like Collins and Wildervanck syndrome (syndrome cervico oculoacusticum) which can be considered.…”
Section: Discussionmentioning
confidence: 99%
“…Klasik olarak göz, kulak, vertebral kolon anomalileri ve hemifasiyal mikrosomi görülür. Goldenhar sendromu fenotipik özellikleri oldukça değişken olan gelişimsel bir sendromdur [9][10][11] . Olgumuzda göz, kulak önü anomalileri bulunmakla birlikte burun, dudak, damak, mandibula ve vertebra anomalilerinin olmaması, görme ve işitme bozukluğunun tespit edilememesi nedeniyle hafif form veya atipik Goldenhar sendromu düşünülebilir.…”
Section: Discussionunclassified
“…A congenital facial nerve paralysis, although other cranial nerves such as the Ⅲ, Ⅳ, Ⅴ, Ⅷ can be involved, is presented within the Möbius syndrome. The reported prevalence of this syndrome is about 1/150000 live births [9][10][11][12] . It is reported to be due to hypoplasia of the motor nuclei of the cranial nerves within the brainstem, probably due to a hypoxic-ischemic encephalopathy [10] .…”
Section: Epidemiology and Etiopathogenesismentioning
confidence: 99%
“…It is reported to be due to hypoplasia of the motor nuclei of the cranial nerves within the brainstem, probably due to a hypoxic-ischemic encephalopathy [10] . Those affected by Goldenhar syndrome (hemifacial microsomia, with a spectrum of congenital malformations involving the structures derived from the first and second branchial arch) can also present a congenital facial paralysis [11] . Congenital pseudobulbar palsy (Syringobulbia) is a condition that clinically manifests with facial paralysis, dysphagia and speech difficulties, while in the Arnold-Chiari syndrome, congenital facial paralysis is usually associated to other cranial nerves paralysis (especially the Ⅵ one) due to malformations of the posterior fossa that allow herniation of brain structures through the foramen magnum [12] .…”
Section: Epidemiology and Etiopathogenesismentioning
confidence: 99%
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