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BMJ Case Reports 2009; doi:10.1136/bcr.09.2008.0953
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Moebius-Poland syndrome and drug associations

  1. Simon William Dubrey1,
  2. Maneesh C Patel2,
  3. Omar Malik3
  1. 1
    Hillingdon Hospital, Cardiology, Pield Heath Road, Uxbridge UB8 3NN, UK
  2. 2
    Charing Cross Hospital, Radiology, Fulham Palace Road, London W6 8RF, UK
  3. 3
    Charing Cross Hospital, Neurology, Fulham Palace Road, London W6 8RF, UK
  1. Simon Dubrey, simon.dubrey{at}thh.nhs.uk
  • Published 7 April 2009

Diagnosed with Moebius-Poland syndrome shortly after birth this middle-aged man had a partially developed right-hand and pectoral dysplasia (fig 1). In addition there was a lack of facial expression. Neurological examination revealed bilateral facial and abducens nerve palsies (fig 2) and fasciculation of the tongue suggesting involvement of cranial nerves XI and XII.

Figure 1

Ventral (A) and dorsal (B) aspects of both hands showing resultant deformity …

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