A Case Report of Progressive Brown Syndrome?

To report an unusual case of progressive Brown syndrome and the successful surgical treatment. A 42-year-old male with a documented 14-year history of progressive Brown syndrome is presented. To improve diplopia symptoms an ipsilateral superior oblique (SO) 7 mm silicone tendon spacer and a contrala...

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Bibliographic Details
Published in:British and Irish orthoptic journal 2018-05, Vol.14 (1), p.30-34
Main Authors: Coughlan, A, Arblaster, G E, Burke, J P
Format: Article
Language:English
Subjects:
Brown syndrome
Case reports
Diplopia
Motility
Paresis
Patients
progressive
strabismus surgery
Surgery
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Summary:To report an unusual case of progressive Brown syndrome and the successful surgical treatment. A 42-year-old male with a documented 14-year history of progressive Brown syndrome is presented. To improve diplopia symptoms an ipsilateral superior oblique (SO) 7 mm silicone tendon spacer and a contralateral 3 mm superior rectus (SR) recession were performed. The surgical procedure was successful in reducing the primary position deviation (preoperative 30ΔLHoT 7ΔLXT; one month post surgery 3ΔLHo; one year post surgery 7-8ΔLHo 1-2ΔE) and eliminating the abnormal head posture (AHP). Diplopia was only reported on elevation and depression following surgery. This case of Brown syndrome is unusual as it was progressive and had a documented history over a number of years prior to surgery. Surgical treatment of Brown syndrome is rarely required, but in this case was successful in improving the patient's diplopia and AHP.
ISSN:1743-9868
1743-9868
2516-3590
DOI:10.22599/bioj.110