Congenital paralysis of lateral conjugate gaze; occurrence in a case of Klippel-Feil syndrome

Congenital horizontal gaze paralysis, foacial hemiatrophy, and situs inversus of the opitc disc. A case report

A case of congenital horizontal gaze paralysis in association with facial hemiatrophy and situs inversus of the optic discs is described. Except for the presence of deafness on the side of the atrophic face no other neurologic abnormality was present. To our knowledge, no similar case has been reported.

Congenital absence of conjugate horizontal eye movements

Loss of conjugate horizontal eye movements is usually due to a lesion in the pons (tumour, vascular, M.S.). However, the condition may also be congenital, either isolated or as part of Moebius's syndrome. Three patients with congenital absence of all conjugate horizontal eye movements are described. In two of them a conjugate pendular nystagmus was observed. Two of the three patients suffered from progressive scoliosis. Congenital absence of all conjugate horizontal eye movements, associated with progressive scoliosis, probably forms a separate clinical entity.