Abstract

Marcus Gunn Jaw Winking Synkinedis (MGJWS) is caused by aberrant innervation of the levator palpebrae superioris muscle by a branch of the trigeminal nerve’s motor division that supplies mastication. This phenomenon is seen in 4 to 6% of congenital ptosis patients. MGJWS mostly occurs i an unilateral and isolated manner but it is less frequently bilateral and associated with ocular and systemic abnormalities. Here we describe two cases of children who presented with ptosis and were diagnosed with MGJWS

Keywords: Innervational defect, Congenital ptosis, Synkinesis

References

  1. Shah AD, Kumar AB, Kothari K. Bilateral Marcus Gunn jaw winking synkinesis with monocular elevation deficiency: A case report and literature review. Int Ophthalmol 2012;32:199-201.
  2. Carman KB, Ozkan S, Yakut A, Ekici A. Marcus Gunn jaw winking synkinesis: Report of two cases. BMJ Case Reports 2013;2013.
  3. Conte A, Brancati F, Garaci F, Toschi N, Bologna M, Fabbrini G, et al. Kinematic and diffusion tensor imaging definition of familial Marcus Gunn Jaw-Winking Synkinesis. PLoS One 2012;7:e51749.
  4. Pandey M, Baduni N, Jain A, Sanwal MK, Vajifdar H. Abnormal oculocardiac reflex in two patients with Marcus Gunn syndrome. J Anaesthesiol Clin Pharmacol 2014;27:398-9.
  5. Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis / 2015; 3: 203-205

How to cite

1.
Taşkın BD, Bektaş Ö, Gürcan ZK, Akman AÖ, Şeker ED, Güven A, et al. Marcus Gunn Jaw Winking Synkinesis: Report of Two Cases with Congenital Ptosis. Turk J Pediatr Dis [Internet]. 2015 Aug. 1 [cited 2025 May 24];9(3):203-5. Available from: https://turkjpediatrdis.org/article/view/324