Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report

Moebius syndrome and Duane Retraction Syndrome (DRS) are Congenital Cranial Dysinnervation Disorders (CCDDs) characterised as congenital, non progressive groups of diseases caused by abnormal development of cranial nerve nuclei or their axonal connections. Due to their overlapping features, distingu...

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Main Authors: Harnoor Kaur, Neha K Sethi, Harsimarpreet Singh
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2024-11-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/20319/73975_CE[Ra1]_F(SHU)_QC(AN_IS)_PF1(AG_SHU)_PFA_NC(IS)_PN(KM).pdf
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author Harnoor Kaur
Neha K Sethi
Harsimarpreet Singh
author_facet Harnoor Kaur
Neha K Sethi
Harsimarpreet Singh
author_sort Harnoor Kaur
collection DOAJ
description Moebius syndrome and Duane Retraction Syndrome (DRS) are Congenital Cranial Dysinnervation Disorders (CCDDs) characterised as congenital, non progressive groups of diseases caused by abnormal development of cranial nerve nuclei or their axonal connections. Due to their overlapping features, distinguishing between these disorders can be challenging, leading to potential diagnostic oversights. This is a case report of a 10-year-old female with Moebius syndrome misdiagnosed as DRS. She had 6th and 7th nerve palsies with exposure keratopathy. Probably the cause for misdiagnosis was the presence of an abduction deficit-a characteristic shared by both disorders. Additionally, it is crucial to examine the facial nerve, as it is exclusively affected in Moebius syndrome. DRS is significantly more common than Moebius syndrome; the rarity of Moebius syndrome might contribute to the misdiagnosis. Conducting a thorough examination is essential for differentiating between these conditions, thereby facilitating comprehensive management.
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spelling doaj-art-82a0ab8ef3914eaeb6de49679d6c5f8f2025-08-20T02:50:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-11-011811040510.7860/JCDR/2024/73975.20319Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case ReportHarnoor Kaur0Neha K Sethi1Harsimarpreet Singh2Junior Resident, Department of Ophthalmology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India. Associate Professor, Department of Ophthalmology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.Junior Resident, Department of Ophthalmology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.Moebius syndrome and Duane Retraction Syndrome (DRS) are Congenital Cranial Dysinnervation Disorders (CCDDs) characterised as congenital, non progressive groups of diseases caused by abnormal development of cranial nerve nuclei or their axonal connections. Due to their overlapping features, distinguishing between these disorders can be challenging, leading to potential diagnostic oversights. This is a case report of a 10-year-old female with Moebius syndrome misdiagnosed as DRS. She had 6th and 7th nerve palsies with exposure keratopathy. Probably the cause for misdiagnosis was the presence of an abduction deficit-a characteristic shared by both disorders. Additionally, it is crucial to examine the facial nerve, as it is exclusively affected in Moebius syndrome. DRS is significantly more common than Moebius syndrome; the rarity of Moebius syndrome might contribute to the misdiagnosis. Conducting a thorough examination is essential for differentiating between these conditions, thereby facilitating comprehensive management.https://www.jcdr.net/articles/PDF/20319/73975_CE[Ra1]_F(SHU)_QC(AN_IS)_PF1(AG_SHU)_PFA_NC(IS)_PN(KM).pdfcongenital cranial dysinnervation disorderscongenital facial palsyexposure keratopathystrabismus
spellingShingle Harnoor Kaur
Neha K Sethi
Harsimarpreet Singh
Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
Journal of Clinical and Diagnostic Research
congenital cranial dysinnervation disorders
congenital facial palsy
exposure keratopathy
strabismus
title Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
title_full Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
title_fullStr Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
title_full_unstemmed Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
title_short Moebius Syndrome Misdiagnosed as Duane Retraction Syndrome: A Case Report
title_sort moebius syndrome misdiagnosed as duane retraction syndrome a case report
topic congenital cranial dysinnervation disorders
congenital facial palsy
exposure keratopathy
strabismus
url https://www.jcdr.net/articles/PDF/20319/73975_CE[Ra1]_F(SHU)_QC(AN_IS)_PF1(AG_SHU)_PFA_NC(IS)_PN(KM).pdf
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