Asymmetric Crying Facies Syndrome

Document Type

Article

Publication Date

5-3-2019

Publication Title

Journal of Pediatrics

First page number:

1

Last page number:

1

Abstract

A female infant, born vaginally at 40 weeks of gestation with a birthweight of 3260 g had an Apgar score of 10 at 1 and 5 minutes. She presented with an asymmetric facial expression when crying, with the right side of her mouth deviating inferior-laterally (Figure, A and Video[available at www.jpeds.com]). At rest, her facial expression was symmetric and a thinner left lower lip was noted (Figure, B). A pediatricneurologist noted intact motor, reflex, and cranial nerve functions, and she was diagnosed with asymmetric crying facies, likely because of hypoplasia of the left depressor angularis oris muscle. Asymmetric crying facies is often accompanied by coexisting anomalies across various systems. Although the cardiac system is most commonly involved, her echocardiogram was normal. However, this case presented with other abnormalities that are rarely reported in this population, including laryngomalacia, left muscular torticollis, left hip dysplasia, and bilateral esotropia.

Disciplines

Neurology | Pediatrics | Physical Therapy

Language

English

UNLV article access

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