Heredity, age, environmental factors, and overaction
of the facial muscles all play a role in the development of wrinkles.
A 15-year old boy presented with features characteristic of FND type I caused by ALX3 gene mutation, after the correction of severe hypertelorism, median nasal cleft with a broad nasal root and associated de-compensated intermittent exotropia with overaction
of the inferior oblique muscles with V pattern.
Portions of heavy food, or large quantities of any kind, taken at evening, or any time during the night, attract an undue amount of the nervous energy to the stomach, and give an overaction
to the feelings and powers, which is sure to be followed the next day by more or less bad reactionary consequences; and, if persevered in, must be a strong constitution indeed which does not break down.
All other movements were normal except for excessive movement of eyeball down, revealing right inferior rectus overaction
By looking at the eye movements nystagmus, limited movements or overaction
of movements may be revealed.
Persistent ptosis not only was found cosmetically disturbing but also caused abnormal head posture including chin elevation, wrinkles on the forehead and updrawn eyebrows(due to overaction
The pea crop was particularly good, which may have created panic and overaction
in the market," said Dries.
It may be useful to add a few general illustrations of the reasons for some of the small estimates now submitted, and of the intrinsic difficulties in attaining much certainty concerning them during crises of overaction
and revulsions like the past and the present.
For the purpose of this study 'ptosis' was defined as either (i) drooping of the eyelid to cover at least 4 mm or more of the superior corneal limbus; or (ii) upper eyelid excursion of less than 8 mm from eyes shut to open while preventing frontalis overaction
by finger pressure; or (iii) a palpebral aperture less than the normal range (men 7-10 mm; women 8-12 mm ).