Unmasking a Mask-like Face

A 7-year-old boy presented with history of “mask-like facies” from birth and inability to close both eyes fully. He was never seen to show any facial expressions such as smiling or crying. On examination, he had an expressionless face (Figure, A). His intelligence was normal for his age. He had facial diplegia, and bilateral bells phenomenon was noted with eye closure (Figure, B and Video; Video available at www.jpeds.com). He had strabismus, limitation of abduction in both eyes, and intermittent ptosis of right eye.

12 Jul 2014 ... He was never seen to show any facial expressions such as smiling or crying. On examination, he had an expressionless face ( Figure, A). His ...

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