Purpose: To review the clinical features and possible aetiology of all case
s of Mabius' syndrome presented at the Royal Alexandra Hospital for Childre
n in Sydney, Australia, from 1963 through 1995.
Methods: All charts of patients suffering from Mobius' syndrome were review
ed, and each patient was thoroughly assessed by a geneticist and a pediatri
c ophthalmologist.
Results: Patterns of systemic and ocular clinical features became evident.
Of 23 patients in the series, 10 (43%) had a history significant events in
utero.
Conclusions: All patients suffering from Mobius' syndrome require thorough
assessment by a multidisciplinary team including a geneticist or pediatrici
an and a pediatric ophthalmologist. Significant vascular events of pregnanc
y may explain some cases of fetal vascular disruption to the brainstem.