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March 1947


Author Affiliations


From the New Haven Hospital.

Arch NeurPsych. 1947;57(3):358-361. doi:10.1001/archneurpsyc.1947.02300260098008

Facial paralysis occurring in infancy and childhood may be acquired or congenital. If the former, it is thought to be due to obstetric trauma, is almost always unilateral and is not accompanied with paralysis of other cranial nerves.1 Congenital facial paralysis, on the other hand, is usually bilateral. Paralysis of the abducens nerves is an almost invariably associated finding, and there are often other evidences of faulty development of the brain stem and cervicobrachial region.2

The occurrence of congenital facial palsy and its association with extraocular paralysis was first described by von Graefe, in 1880, and by Möbius, in 1888 and 1892.2f,g Since that time reports of over 60 cases have appeared in the literature and have been collected by Henderson.2f Of differential diagnostic interest, especially in the event of the rare unilateral case, is that the superior group of facial muscles is always more severely