ABSTRACT Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient.
Cite this paper
D. Dutta, I. Maisnam, S. Ghosh, P. Mukhopadhyay, S. Mukhopadhyay and S. Chowdhury, "Marcus-Gunn Jaw Winking Syndrome and Gustatory Sweating in Long Standing Poorly Controlled Diabetes: A Case Report," International Journal of Clinical Medicine, Vol. 3 No. 1, 2012, pp. 40-42. doi: 10.4236/ijcm.2012.31008.
 R. M. Gunn, “Congenital Ptosis with Peculiar Associated Movements of the Affected Lid,” Transactions of the Ophthalmological Society of the United Kingdom, Vol. 3, 1883, pp. 283-287.
 S. P. Pratt, C. K. Beyer and C. C. Johnson, “The Marcus Gunn Phenomenon. A Review of 71 Cases,” Ophthalmology, Vol. 91, No. 1, 1984, pp. 27-30.
 S. Duke Elder, “Normal and Abnormal Development; Congenital Deformities,” In: System of Ophthalmology, Vol. 3, CV Mosby, St. Louis, 1963, pp. 900-905.
 K. Sano, “Trigemino-Oculomotor Synkinesis,” Neuralgia, Vol. 1, 1959, pp. 29-51.
 S. G. Pratt, C. K. Beyer and C. C. Johnson, “The Marcus Gunn Phenomenon: A Review of 71 Cases,” Ophthalmology, Vol. 91, No. 1, 1984, pp. 27-30.
 A. K. Asbury, “Focal and Multifocal Neuropathies of Diabetes,” In: P. J. Dyck, P. K. Thomas, A. K. Asbury, A. I. Winegrad and D. Porte, Eds., Diabetic Neuropathy, Saunders, Philadelphiam,1987, pp. 45-55.
 G. Cruccu, R. Agostino, M. Inghilleri, P. Innocenti, A. Romaniello and M. Manfredi, “Mandibular Nerve Involvement in Diabetic Polyneuropathy and Chronic Inflammatory Demyelinating Polyneuropathy,” Muscle & Nerve, Vol. 21, No. 12, 1998, pp. 1673-1679.
 J. R. Keane, “Third Nerve Palsy: Analysis of 1400 Personally-Examined Inpatients,” Canadian Journal of Neurological Sciences, Vol. 37, No. 5, 2010, pp. 662-670
 D. Ziegler, “Diabetic Peripheral Neuropathy,” In: R. I. G. Holt, C. S. Cockram, A. Flyvbjerg and B. J. Goldstein, Eds., Text Book of Diabetes, 4th Edition, Wiley-Blackwell, Hoboken, 2010, p. 618.
 D. B. Dillman and R. L. Anderson, “Levator Myectomy in Synkinetic Ptosis,” Archives of Ophthalmolgoy, Vol. 102, No. 3, 1984, pp. 422-423.
 J. D. Urman and A. M. Bobrove, “Diabetic Gustatory Sweating Successfully Treated with Topical Glycopyrrolate: Report of a Case and Review of the Literature,” Archives of Internal Medicine, Vol. 159, No. 8, 1999, pp. 877-878. doi:10.1001/archinte.159.8.877