Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?. Issue 1 (30th January 2020)

• Record Type: Journal Article
• Authors: Watts, Mark; McQuillan, Joe; Holmes, Simon
• Is Part Of: British and Irish orthoptic journal. Volume 16:Issue 1(2020)
• Page Start: 1
• Page End: 3
• Publication Date: 2020-01-30
• Subjects: Brown syndrome -- trauma -- maxillofacial -- surgery -- resolution; Orthoptics -- Periodicals; 617.762005
• DOI: 10.22599/bioj.144
• Languages: English
• ISSNs: 2516-3590

Abstract

A 43-year-old gentleman presented with vertical double vision following nasal and frontal bone fractures resulting from blunt trauma to the glabella. Orthoptic assessment revealed a diagnosis of traumatic Brown syndrome affecting the right eye. The fractures were fixed with open reduction internal fixation via a coronal flap nine days after the injury was sustained. Evidence of resolution of the syndrome became apparent clinically within 15 days following surgery, which was confirmed with a later orthoptic evaluation. This case demonstrates that prompt surgical intervention of fractures associated with traumatic Brown syndrome may lead to resolution without the need to resort to extraocular muscle surgery.