Marcus-Gunn Jaw Winking Syndrome and Gustatory Sweating in Long Standing Poorly Controlled Diabetes: A Case Report

Abstract

Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient.

Share and Cite:

D. Dutta, I. Maisnam, S. Ghosh, P. Mukhopadhyay, S. Mukhopadhyay and S. Chowdhury, "Marcus-Gunn Jaw Winking Syndrome and Gustatory Sweating in Long Standing Poorly Controlled Diabetes: A Case Report," International Journal of Clinical Medicine, Vol. 3 No. 1, 2012, pp. 40-42. doi: 10.4236/ijcm.2012.31008.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] R. M. Gunn, “Congenital Ptosis with Peculiar Associated Movements of the Affected Lid,” Transactions of the Ophthalmological Society of the United Kingdom, Vol. 3, 1883, pp. 283-287.
[2] S. P. Pratt, C. K. Beyer and C. C. Johnson, “The Marcus Gunn Phenomenon. A Review of 71 Cases,” Ophthalmology, Vol. 91, No. 1, 1984, pp. 27-30.
[3] S. Duke Elder, “Normal and Abnormal Development; Congenital Deformities,” In: System of Ophthalmology, Vol. 3, CV Mosby, St. Louis, 1963, pp. 900-905.
[4] K. Sano, “Trigemino-Oculomotor Synkinesis,” Neuralgia, Vol. 1, 1959, pp. 29-51.
[5] S. G. Pratt, C. K. Beyer and C. C. Johnson, “The Marcus Gunn Phenomenon: A Review of 71 Cases,” Ophthalmology, Vol. 91, No. 1, 1984, pp. 27-30.
[6] A. K. Asbury, “Focal and Multifocal Neuropathies of Diabetes,” In: P. J. Dyck, P. K. Thomas, A. K. Asbury, A. I. Winegrad and D. Porte, Eds., Diabetic Neuropathy, Saunders, Philadelphiam,1987, pp. 45-55.
[7] G. Cruccu, R. Agostino, M. Inghilleri, P. Innocenti, A. Romaniello and M. Manfredi, “Mandibular Nerve Involvement in Diabetic Polyneuropathy and Chronic Inflammatory Demyelinating Polyneuropathy,” Muscle & Nerve, Vol. 21, No. 12, 1998, pp. 1673-1679. doi:10.1002/(SICI)1097-4598(199812)21:12<1673::AID-MUS8>3.0.CO;2-A
[8] J. R. Keane, “Third Nerve Palsy: Analysis of 1400 Personally-Examined Inpatients,” Canadian Journal of Neurological Sciences, Vol. 37, No. 5, 2010, pp. 662-670
[9] D. Ziegler, “Diabetic Peripheral Neuropathy,” In: R. I. G. Holt, C. S. Cockram, A. Flyvbjerg and B. J. Goldstein, Eds., Text Book of Diabetes, 4th Edition, Wiley-Blackwell, Hoboken, 2010, p. 618.
[10] D. B. Dillman and R. L. Anderson, “Levator Myectomy in Synkinetic Ptosis,” Archives of Ophthalmolgoy, Vol. 102, No. 3, 1984, pp. 422-423. doi:10.1001/archopht.1984.01040030340033
[11] J. D. Urman and A. M. Bobrove, “Diabetic Gustatory Sweating Successfully Treated with Topical Glycopyrrolate: Report of a Case and Review of the Literature,” Archives of Internal Medicine, Vol. 159, No. 8, 1999, pp. 877-878. doi:10.1001/archinte.159.8.877

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.