J Pediatr Genet 2012; 01(03): 199-203
DOI: 10.3233/PGE-2012-031
Georg Thieme Verlag KG Stuttgart – New York

Moebius syndrome with baroreflex failure in an adolescent female

Megan Bowers
a   Department of Neurology, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA
,
Gabrielle Gold-von Simson
b   Department of Pediatrics, New York University School of Medicine, Tisch Hospital, New York, NY, USA
› Author Affiliations

Subject Editor:
Further Information

Publication History

20 July 2011

19 January 2012

Publication Date:
27 July 2015 (online)

Abstract

An adolescent female with Moebius syndrome developed paroxysmal hypertension, orthostatic hypotension and autonomic symptoms. Common causes of dysautonomia were excluded by the work-up, which supported a diagnosis of baroreflex failure. Neurological testing suggested dysfunction of the tenth cranial nerve as the etiology. This report suggests that baroreflex dysfunction should be considered in Moebius syndrome patients displaying autonomic symptoms.