Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?

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 f...

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Main Authors: Mark Watts, Joe McQuillan, Simon Holmes
Format: Article
Language:English
Published: White Rose University Press 2020-01-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/144
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author Mark Watts
Joe McQuillan
Simon Holmes
author_facet Mark Watts
Joe McQuillan
Simon Holmes
author_sort Mark Watts
collection DOAJ
description 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.
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spelling doaj.art-9fdc9346819d4c41a587d217dea4e7802022-12-22T03:12:28ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902020-01-0116110.22599/bioj.144137Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?Mark Watts0Joe McQuillan1Simon Holmes2Royal Devon and Exeter NHS Foundation TrustBarts Health NHS TrustBarts Health NHS TrustA 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.https://www.bioj-online.com/articles/144brown syndrometraumamaxillofacialsurgeryresolution
spellingShingle Mark Watts
Joe McQuillan
Simon Holmes
Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
British and Irish Orthoptic Journal
brown syndrome
trauma
maxillofacial
surgery
resolution
title Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
title_full Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
title_fullStr Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
title_full_unstemmed Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
title_short Acquired Brown Syndrome in Head Trauma: Does Fixation of Associated Nasal and Frontal Bone Fractures Provide a Cure?
title_sort acquired brown syndrome in head trauma does fixation of associated nasal and frontal bone fractures provide a cure
topic brown syndrome
trauma
maxillofacial
surgery
resolution
url https://www.bioj-online.com/articles/144
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AT joemcquillan acquiredbrownsyndromeinheadtraumadoesfixationofassociatednasalandfrontalbonefracturesprovideacure
AT simonholmes acquiredbrownsyndromeinheadtraumadoesfixationofassociatednasalandfrontalbonefracturesprovideacure