Intrafacial Synkinesis
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A 52-year-old man was admitted to the hospital with weakness that had progressed over a period of several weeks. Cranial-nerve examination revealed involuntary unilateral ptosis that coincided with voluntary contraction of the lower facial muscles, a form of synkinesis known as the Marin-Amat syndrome. Symmetric proximal muscle weakness was present, and Gottron’s papules were also observed over the dorsum of the metacarpophalangeal joint...

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