Recurrent Intermitted Brown Syndrome: Case Report

  • Olita Lūse (Speaker)
  • Sandra Valeiņa (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Brown syndrome is uncommon vertical strabismus syndrome characterized by limited elevation of the eye in adducted position. It most often occurs as congenital and constant condition, but it can also be acquired and intermittent. A 10 years old boy complained about pain in right eye, diplopia, running nose, dizziness and fever. The patient has had running nose for 3 weeks. Patient displayed a chin- up head posture to reduce diplopia. Ocular examination revealed right eye hypo- deviation, reduced adduction, and movement to the up with the right eye. In primary position near fixation prism cover test revealed 7Δ base- in and 18 Δ base- down, prism was placed in front of the left eye. There were no abnormalities in pupillary, anterior, and posterior segment examination. Magnetic resolution imagining with contrast showed minimal mucosal edema in sphenoidal sinus, there were no abnormalities in brain, or cranial nerve. Patient received nonsteroidal anti-inflammatory drugs to reduce pain and inflammation, locally xylometazoline hydrochloride was used to reduce nasal congestion. Following one month diplopia had decreased, near prism cover test showed 6Δ base- in and 4 Δ base- up, prism was placed in front of the deviated eye. From the anamnesis we know that 3 years ago there were 2 similar episodes in left side with spontaneous resolution within several weeks. In the first episode laboratory tests were unremarkable and neurological examination unrevealed any abnormalities. A multidisciplinary assessment of patients with acute strabismus is crucial to exclude diseases which demand fast and appropriate treatment. Observation and conservative therapy is the mainstay for most forms of Brown syndrome. . ".". ".". "."
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

Related content