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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1994 Dec;31(12):969–971. doi: 10.1136/jmg.31.12.969

Progressive hemifacial atrophy with agenesis of the head of the caudate nucleus.

M Leäo 1, M L da Silva 1
PMCID: PMC1016702  PMID: 7891383

Abstract

We describe a woman with right hemifacial atrophy, a high palate, partial left motor seizures, and mild atrophy of the left arm. CT scan showed asymmetrical lateral ventricles and MRI (magnetic resonance imaging) showed atrophy of the right cerebral hemisphere and agenesis of the head of the right caudate nucleus. To our knowledge, this is the first report of Parry-Romberg syndrome associated with structural abnormalities of the basal nuclei documented by MRI. We suggest that a neurovascular aetiology can explain the spectrum of segmental defects associated with hemifacial atrophy.

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  1. Asher S. W., Berg B. O. Progressive hemifacial atrophy: report of three cases, including one observed over 43 years, and computed tomographic findings. Arch Neurol. 1982 Jan;39(1):44–46. doi: 10.1001/archneur.1982.00510130046011. [DOI] [PubMed] [Google Scholar]
  2. Auvinet C., Glacet-Bernard A., Coscas G., Cornelis P., Cadot M., Meyringnac C. Hémiatrophie faciale progressive de Parry-Romberg et sclérodermie localisée. Problèmes nosologiques et pathogéniques. J Fr Ophtalmol. 1989;12(3):169–173. [PubMed] [Google Scholar]
  3. Bavinck J. N., Weaver D. D. Subclavian artery supply disruption sequence: hypothesis of a vascular etiology for Poland, Klippel-Feil, and Möbius anomalies. Am J Med Genet. 1986 Apr;23(4):903–918. doi: 10.1002/ajmg.1320230405. [DOI] [PubMed] [Google Scholar]
  4. Dintiman B. J., Shapiro R. S., Hood A. F., Guba A. M. Parry-Romberg syndrome in association with contralateral Poland syndrome. J Am Acad Dermatol. 1990 Feb;22(2 Pt 2):371–373. doi: 10.1016/0190-9622(90)70051-i. [DOI] [PubMed] [Google Scholar]
  5. Garcher C., Humbert P., Bron A., Chirpaz L., Royer J. Neuropathie optique et syndrome de Parry-Romberg. A propos d'un cas. J Fr Ophtalmol. 1990;13(11-12):557–561. [PubMed] [Google Scholar]
  6. Hirata K., Katayama S., Yamano K., Tsunashima Y., Fujinuma H. Arteriovenous malformation with crossed total hemiatrophy: a case report. J Neurol. 1988 Jan;235(3):165–167. doi: 10.1007/BF00314309. [DOI] [PubMed] [Google Scholar]
  7. Kaufman M. D. Masticatory spasm in facial hemiatrophy. Ann Neurol. 1980 Jun;7(6):585–587. doi: 10.1002/ana.410070614. [DOI] [PubMed] [Google Scholar]
  8. Kleiner-Baumgarten A., Sukenik S., Horowitz J. Linear scleroderma, hemiatrophy and systemic lupus erythematosus. J Rheumatol. 1989 Aug;16(8):1141–1143. [PubMed] [Google Scholar]
  9. Klene C., Massicot P., Ferrière-Fontan I., Sarlangue J., Fontan D., Guillard J. M. Sclérodermie "en coup de sabre" et hémi-atrophie faciale de Parry-Romberg. Problème nosologique. Complication neurologique. Ann Pediatr (Paris) 1989 Feb;36(2):123–125. [PubMed] [Google Scholar]
  10. Kuto F., Sakaguchi T., Horasawa Y., Hayashi M., Hirasawa Y., Tokuhiro H. Total hemiatrophy. Association with localized scleroderma, Schönlein-Henoch nephritis, and paroxysmal nocturnal hemoglobinuria. Arch Intern Med. 1985 Apr;145(4):731–733. doi: 10.1001/archinte.145.4.731. [DOI] [PubMed] [Google Scholar]
  11. Lakhani P. K., David T. J. Progressive hemifacial atrophy with scleroderma and ipsilateral limb wasting (Parry-Romberg syndrome). J R Soc Med. 1984 Feb;77(2):138–139. doi: 10.1177/014107688407700215. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lederman R. J. Progressive facial and cerebral hemiatrophy. Cleve Clin Q. 1984 Fall;51(3):545–548. doi: 10.3949/ccjm.51.3.545. [DOI] [PubMed] [Google Scholar]
  13. Lewkonia R. M., Lowry R. B. Progressive hemifacial atrophy (Parry-Romberg syndrome) report with review of genetics and nosology. Am J Med Genet. 1983 Feb;14(2):385–390. doi: 10.1002/ajmg.1320140220. [DOI] [PubMed] [Google Scholar]
  14. Miller M. T., Sloane H., Goldberg M. F., Grisolano J., Frenkel M., Mafee M. F. Progressive hemifacial atrophy (Parry-Romberg disease). J Pediatr Ophthalmol Strabismus. 1987 Jan-Feb;24(1):27–36. doi: 10.3928/0191-3913-19870101-07. [DOI] [PubMed] [Google Scholar]
  15. Parisi L., Valente G., Dell'Anna C., Mariorenzi R., Amabile G. A case of facial hemiatrophy associated with linear scleroderma and homolateral masseter spasm. Ital J Neurol Sci. 1987 Feb;8(1):63–65. doi: 10.1007/BF02361438. [DOI] [PubMed] [Google Scholar]
  16. Pensler J. M., Murphy G. F., Mulliken J. B. Clinical and ultrastructural studies of Romberg's hemifacial atrophy. Plast Reconstr Surg. 1990 May;85(5):669–676. [PubMed] [Google Scholar]
  17. Rees T. D. Facial atrophy. Clin Plast Surg. 1976 Oct;3(4):637–646. [PubMed] [Google Scholar]
  18. Sagild J. C., Alving J. Hemiplegic migraine and progressive hemifacial atrophy. Ann Neurol. 1985 Jun;17(6):620–620. doi: 10.1002/ana.410170621. [DOI] [PubMed] [Google Scholar]
  19. Schwartz R. A., Tedesco A. S., Stern L. Z., Kaminska A. M., Haraldsen J. M., Grekin D. A. Myopathy associated with sclerodermal facial hemiatrophy. Arch Neurol. 1981 Sep;38(9):592–594. doi: 10.1001/archneur.1981.00510090086013. [DOI] [PubMed] [Google Scholar]
  20. Serratrice G., Pouget J. L'aplasie de l'éminence thénar: une forme partielle et terminale de dysplasie du rayon radial. Six observations. Presse Med. 1986 Feb 8;15(5):193–196. [PubMed] [Google Scholar]
  21. Speciali J. G., Resende L. A. Hemiatrofia facial progressiva: registro de um caso. Arq Neuropsiquiatr. 1984 Jun;42(2):166–170. doi: 10.1590/s0004-282x1984000200010. [DOI] [PubMed] [Google Scholar]
  22. Talacko A. A., Reade P. C. Hemifacial atrophy and temporomandibular joint pain-dysfunction syndrome. Int J Oral Maxillofac Surg. 1988 Aug;17(4):224–226. doi: 10.1016/s0901-5027(88)80044-4. [DOI] [PubMed] [Google Scholar]
  23. Thompson P. D., Obeso J. A., Delgado G., Gallego J., Marsden C. D. Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm. J Neurol Neurosurg Psychiatry. 1986 Jun;49(6):651–656. doi: 10.1136/jnnp.49.6.651. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Zafarulla M. Y. Progressive hemifacial atrophy: a case report. Br J Ophthalmol. 1985 Jul;69(7):545–547. doi: 10.1136/bjo.69.7.545. [DOI] [PMC free article] [PubMed] [Google Scholar]

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