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Jaw-winking syndrome

MedGen UID:
120582
Concept ID:
C0266521
Disease or Syndrome
Synonyms: Familial Marcus Gunn phenomenon (subtype); Jaw-winking; Marcus Gunn jaw winking synkinesis; Marcus Gunn Phenomenon; Marcus Gunn syndrome; Maxillopalpebral synkinesis
SNOMED CT: Pterygoid-levator synkinesis (5127009); Marcus-Gunn jaw winking (5127009); Abnormal eyelid innervation syndrome (5127009); Jaw winking (5127009); Marcus Gunn phenonemon (5127009); Marcus Gunn syndrome (5127009); Jaw-winking syndrome (5127009); Marcus-Gunn syndrome (5127009)
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
HPO: HP:0025186
Monarch Initiative: MONDO:0007946
OMIM®: 154600
Orphanet: ORPHA91412

Definition

The Marcus Gunn phenomenon consists of unilateral congenital ptosis and rapid exaggerated elevation of the ptotic lid on moving of the lower jaw. Although it usually persists into adult life, the phenomenon is seen in its most marked forms in infancy when the rapid spasmodic movements of the lid are apparent during sucking and thus are noted soon after birth (Doco-Fenzy et al., 2006). [from OMIM]

Clinical features

From HPO
Congenital ptosis
MedGen UID:
78612
Concept ID:
C0266573
Congenital Abnormality
The drooping of the upper or lower eyelid that is present at the time of birth.
Unilateral ptosis
MedGen UID:
401085
Concept ID:
C1866806
Finding
A unilateral form of ptosis.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVJaw-winking syndrome
Follow this link to review classifications for Jaw-winking syndrome in Orphanet.

Conditions with this feature

Skraban-Deardorff syndrome
MedGen UID:
1627555
Concept ID:
C4539927
Disease or Syndrome
WDR26-related intellectual disability (ID) is characterized by developmental delay / intellectual disability, characteristic facial features, hypotonia, epilepsy, and infant feeding difficulties. To date 15 individuals, ages 24 months to 34 years, have been reported. Developmental delay is present in all individuals and ranges from mild to severe. All individuals have delayed speech. Although some begin to develop speech in the second year, others have remained nonverbal. Seizures, present in all affected individuals reported to date, can be febrile or non-febrile (tonic-clonic, absence, rolandic seizures); most seizures are self limited or respond well to standard treatment. Affected individuals are generally described as happy and socially engaging; several have stereotypies / autistic features (repetitive or rocking behavior, abnormal hand movements or posturing, and at times self-stimulation).
Joubert syndrome 37
MedGen UID:
1786742
Concept ID:
C5543064
Disease or Syndrome
Joubert syndrome-37 (JBTS37) is an autosomal recessive neurodevelopmental ciliopathy characterized classically by a distinctive hindbrain malformation affecting the midbrain and cerebellum, recognizable as the 'molar tooth sign' on brain imaging. Affected individuals have hypotonia, ataxia, and variably impaired intellectual development. Additional variable features, such as postaxial polydactyly, liver or kidney anomalies, retinal dystrophy, and coloboma, may also occur. In severe cases, affected fetuses with these malformations may be terminated (summary by Latour et al., 2020). For a phenotypic description and a discussion of genetic heterogeneity of Joubert syndrome, see JBTS1 (213300).

Recent clinical studies

Etiology

Singh P, Koka K, Alam MS, Mukherjee B
Orbit 2023 Feb;42(1):52-58. Epub 2022 Jan 24 doi: 10.1080/01676830.2022.2025853. PMID: 35073218
Ozturk S, Peduk Y, Gumus H, Per H
Epilepsy Behav 2021 Apr;117:107827. Epub 2021 Feb 20 doi: 10.1016/j.yebeh.2021.107827. PMID: 33621812
Mandal SK, Ganguly P, Lodh S
Korean J Ophthalmol 2021 Feb;35(1):18-25. Epub 2020 Dec 11 doi: 10.3341/kjo.2020.0114. PMID: 33307625Free PMC Article
Parsa CF, Robert MP
JAMA Ophthalmol 2013 Apr;131(4):439-47. doi: 10.1001/jamaophthalmol.2013.1111. PMID: 23710497
Doucet TW, Crawford JS
Am J Ophthalmol 1981 Nov;92(5):702-7. doi: 10.1016/s0002-9394(14)74665-3. PMID: 7304698

Diagnosis

Quaranta-Leoni FM, Quaranta-Leoni C, Di Marino M
Orbit 2024 Feb;43(1):33-40. Epub 2023 Mar 1 doi: 10.1080/01676830.2023.2182330. PMID: 36855996
Cavuoto KM, Kostic M, McKeown CA, Tibi C
J AAPOS 2020 Aug;24(4):252-253. Epub 2020 Jul 2 doi: 10.1016/j.jaapos.2020.04.003. PMID: 32621984
Ziga N, Biscevic A, Pjano MA, Pidro A
Med Arch 2019 Aug;73(4):282-284. doi: 10.5455/medarh.2019.73.282-284. PMID: 31762566Free PMC Article
Alshamrani AA, Alghulaydhawi FA, Al Shamrani M
Middle East Afr J Ophthalmol 2019 Jan-Mar;26(1):37-39. doi: 10.4103/meajo.MEAJO_279_18. PMID: 31114123Free PMC Article
Pearce FC, McNab AA, Hardy TG
Ophthalmic Plast Reconstr Surg 2017 Sep/Oct;33(5):325-328. doi: 10.1097/IOP.0000000000000780. PMID: 27608283

Therapy

Chhajed M, Gunasekaran PK, Saini L
Pediatr Neonatol 2024 Mar;65(2):192-193. Epub 2023 Nov 7 doi: 10.1016/j.pedneo.2023.10.003. PMID: 37951831
Ho YF, Wu SY, Tsai YJ
Am J Ophthalmol 2017 Mar;175:173-182. Epub 2016 Dec 28 doi: 10.1016/j.ajo.2016.12.013. PMID: 28040525
Parsa CF, Robert MP
JAMA Ophthalmol 2013 Apr;131(4):439-47. doi: 10.1001/jamaophthalmol.2013.1111. PMID: 23710497

Prognosis

Landau Prat D, Zhao CS, Ramakrishnan M, Revere KE, Katowitz WR, Katowitz JA
Can J Ophthalmol 2024 Aug;59(4):264-269. Epub 2023 Jun 24 doi: 10.1016/j.jcjo.2023.06.002. PMID: 37364855
Ho YF, Wu SY, Tsai YJ
Am J Ophthalmol 2017 Mar;175:173-182. Epub 2016 Dec 28 doi: 10.1016/j.ajo.2016.12.013. PMID: 28040525
Lelli GJ Jr, Nelson CC
J Pediatr Ophthalmol Strabismus 2006 Jan-Feb;43(1):38-40. doi: 10.3928/01913913-20060101-05. PMID: 16491724
Doucet TW, Crawford JS
Am J Ophthalmol 1981 Nov;92(5):702-7. doi: 10.1016/s0002-9394(14)74665-3. PMID: 7304698

Clinical prediction guides

Ozturk S, Peduk Y, Gumus H, Per H
Epilepsy Behav 2021 Apr;117:107827. Epub 2021 Feb 20 doi: 10.1016/j.yebeh.2021.107827. PMID: 33621812
Cavuoto KM, Kostic M, McKeown CA, Tibi C
J AAPOS 2020 Aug;24(4):252-253. Epub 2020 Jul 2 doi: 10.1016/j.jaapos.2020.04.003. PMID: 32621984

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