Affiliations: Department of Neurology, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA | Department of Pediatrics, New York University School of Medicine, Tisch Hospital, New York, NY, USA
Note: [] Corresponding author: Megan Bowers, New York University School of Medicine, Tisch Hospital Pediatrics 9th floor, Rm 901 Office of the Director, 550 First Avenue New York, NY 10016, USA. Tel.: +1 212 263 5759; Fax: +1 585 756 5189; E-mail: megan_bowers@urmc.rochester.edu.
Abstract: An adolescent female with Moebius syndrome developed paroxysmal hypertension, orthostatic hypotension and autonomic symptoms. Common causes of dysautonomia were excluded by the work-up, which supported a diagnosis of baroreflex failure. Neurological testing suggested dysfunction of the tenth cranial nerve as the etiology. This report suggests that baroreflex dysfunction should be considered in Moebius syndrome patients displaying autonomic symptoms.