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Acute-Onset Brown's Syndrome Associated With Pansinusitis

Acute-Onset Brown's Syndrome Associated With Pansinusitis Abstract • We treated a 5-year-old girl and a 6-year-old boy with acquired Brown's syndrome associated with pansinusitis. In both patients, the diagnosis was established roentgenographically, and the patients were treated with oral antibiotics. Systemic corticosteroids were used in one case, although their clinical value was uncertain. Patients presenting with acute-onset Brown's syndrome of undetermined cause should undergo computed imaging of the orbits and paranasal sinuses. References 1. Killian PJ, McLain B, Lawless OJ. Brown's syndrome: an unusual manifestation of rheumatoid arthritis . Arthritis Rheum . 1977;20:1080-1084.Crossref 2. Hermann JS. Acquired Brown's syndrome of inflammatory origin . Arch Ophthalmol . 1978;96:1228-1232.Crossref 3. Beck M, Hickling P. Treatment of bilateral superior oblique tendon sheath syndrome complicating rheumatoid arthritis . Br J Ophthalmol . 1980;64:358-361.Crossref 4. Roifman CM, Lave S, Moore AT. Tenosynovitis of the superior oblique muscle (Brown's syndrome) associated with juvenile rheumatoid arthritis . J Pediatr . 1985;106:617-619.Crossref 5. Wang FM, Wertenbaker C, Behrens MM, Jacobs JC. Acquired Brown's syndrome in children with juvenile rheumatoid arthritis . Ophthalmology . 1984;91:23-26.Crossref 6. Moore AT, Morin JD. Bilateral acquired inflammatory Brown's syndrome . J Pediatr Ophthalmol Strabismus . 1985;22:26-30. 7. Brown HW. True and simulated superior oblique tendon sheath syndromes . Doc Ophthalmol . 1973;34:123-136.Crossref 8. Parks MM, Brown M. Superior oblique tendon sheath syndrome of Brown . Am J Ophthalmol . 1975;79:82-86. 9. Sims J. Acquired apparent superior oblique tendon sheath syndrome . Br Orthopt J . 1971;28:112-115. 10. Jackson OB, Nankin SJ, Scott WE. Traumatic simulated Brown's syndrome: a case report . J Pediatr Ophthalmol Strabismus . 1979;16:160-162. 11. Baker RS, Conklin JD. Acquired Brown's syndrome from blunt orbital trauma . J Pediatr Ophthalmol Strabismus . 1987;24:17-21. 12. Baldwin L, Baker RS. Acquired Brown's syndrome in a patient with an orbital roof fracture . J Clin Neuro Ophthalmol . 1988;8:127-130. 13. Booth-Mason S, Kyle GM, Rossor M, Bradbury P. Acquired Brown's syndrome: an unusual cause . Br J Ophthalmol . 1985;69:791-794.Crossref 14. Slavin ML, Goodstein S. Acquired Brown's syndrome caused by focal metastasis to the superior oblique muscle . Am J Ophthalmol . 1987;103:598-599. 15. Sanford-Smith JH. Superior oblique tendon sheath syndrome and its relationship to stenosing tenosynovitis . Br J Ophthalmol . 1973;57:859-863.Crossref 16. Mafee MR, Polk ER, Langer DH. Computed tomography in the evaluation of Brown's syndrome of the superior oblique tendon sheath . Radiology . 1985;154:691-695.Crossref 17. Helveston EM. Superior oblique strengthening procedures . Am Orthopt J . 1984;34:100-103. 18. Blanchard CL, Young LA. Acquired inflammatory superior oblique tendon sheath (Brown's) syndrome . Arch Otolaryngol Head Neck Surg . 1984;110:120-122.Crossref 19. Rosenbaum AL, Astle WF. Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery . J Pediatr Ophthalmol Strabismus . 1985;22:194-202. 20. Helveston EM, Merrsum WW, Ellis FD, Shellhamer RH, Gosling CG. The trochlea: a study of the anatomy and physiology . Ophthalmology . 1982;89:124-133.Crossref 21. Wright KW, Silverstein D, Marrone AC, Smith RE. Acquired inflammatory superior oblique tendon sheath syndrome: a clinicopathologic study . Arch Ophthalmol . 1982;100:1752-1754.Crossref 22. Goel BS, Gogi R. Tendon sheath syndrome . Orient Arch Ophthalmol . 1968;6:302-305. 23. Clark E. A case of apparent intermittent overaction of the left superior oblique . Br Orthopt J . 1966;23:116-117. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Acute-Onset Brown's Syndrome Associated With Pansinusitis

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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1990.01070030064029
Publisher site
See Article on Publisher Site

Abstract

Abstract • We treated a 5-year-old girl and a 6-year-old boy with acquired Brown's syndrome associated with pansinusitis. In both patients, the diagnosis was established roentgenographically, and the patients were treated with oral antibiotics. Systemic corticosteroids were used in one case, although their clinical value was uncertain. Patients presenting with acute-onset Brown's syndrome of undetermined cause should undergo computed imaging of the orbits and paranasal sinuses. References 1. Killian PJ, McLain B, Lawless OJ. Brown's syndrome: an unusual manifestation of rheumatoid arthritis . Arthritis Rheum . 1977;20:1080-1084.Crossref 2. Hermann JS. Acquired Brown's syndrome of inflammatory origin . Arch Ophthalmol . 1978;96:1228-1232.Crossref 3. Beck M, Hickling P. Treatment of bilateral superior oblique tendon sheath syndrome complicating rheumatoid arthritis . Br J Ophthalmol . 1980;64:358-361.Crossref 4. Roifman CM, Lave S, Moore AT. Tenosynovitis of the superior oblique muscle (Brown's syndrome) associated with juvenile rheumatoid arthritis . J Pediatr . 1985;106:617-619.Crossref 5. Wang FM, Wertenbaker C, Behrens MM, Jacobs JC. Acquired Brown's syndrome in children with juvenile rheumatoid arthritis . Ophthalmology . 1984;91:23-26.Crossref 6. Moore AT, Morin JD. Bilateral acquired inflammatory Brown's syndrome . J Pediatr Ophthalmol Strabismus . 1985;22:26-30. 7. Brown HW. True and simulated superior oblique tendon sheath syndromes . Doc Ophthalmol . 1973;34:123-136.Crossref 8. Parks MM, Brown M. Superior oblique tendon sheath syndrome of Brown . Am J Ophthalmol . 1975;79:82-86. 9. Sims J. Acquired apparent superior oblique tendon sheath syndrome . Br Orthopt J . 1971;28:112-115. 10. Jackson OB, Nankin SJ, Scott WE. Traumatic simulated Brown's syndrome: a case report . J Pediatr Ophthalmol Strabismus . 1979;16:160-162. 11. Baker RS, Conklin JD. Acquired Brown's syndrome from blunt orbital trauma . J Pediatr Ophthalmol Strabismus . 1987;24:17-21. 12. Baldwin L, Baker RS. Acquired Brown's syndrome in a patient with an orbital roof fracture . J Clin Neuro Ophthalmol . 1988;8:127-130. 13. Booth-Mason S, Kyle GM, Rossor M, Bradbury P. Acquired Brown's syndrome: an unusual cause . Br J Ophthalmol . 1985;69:791-794.Crossref 14. Slavin ML, Goodstein S. Acquired Brown's syndrome caused by focal metastasis to the superior oblique muscle . Am J Ophthalmol . 1987;103:598-599. 15. Sanford-Smith JH. Superior oblique tendon sheath syndrome and its relationship to stenosing tenosynovitis . Br J Ophthalmol . 1973;57:859-863.Crossref 16. Mafee MR, Polk ER, Langer DH. Computed tomography in the evaluation of Brown's syndrome of the superior oblique tendon sheath . Radiology . 1985;154:691-695.Crossref 17. Helveston EM. Superior oblique strengthening procedures . Am Orthopt J . 1984;34:100-103. 18. Blanchard CL, Young LA. Acquired inflammatory superior oblique tendon sheath (Brown's) syndrome . Arch Otolaryngol Head Neck Surg . 1984;110:120-122.Crossref 19. Rosenbaum AL, Astle WF. Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery . J Pediatr Ophthalmol Strabismus . 1985;22:194-202. 20. Helveston EM, Merrsum WW, Ellis FD, Shellhamer RH, Gosling CG. The trochlea: a study of the anatomy and physiology . Ophthalmology . 1982;89:124-133.Crossref 21. Wright KW, Silverstein D, Marrone AC, Smith RE. Acquired inflammatory superior oblique tendon sheath syndrome: a clinicopathologic study . Arch Ophthalmol . 1982;100:1752-1754.Crossref 22. Goel BS, Gogi R. Tendon sheath syndrome . Orient Arch Ophthalmol . 1968;6:302-305. 23. Clark E. A case of apparent intermittent overaction of the left superior oblique . Br Orthopt J . 1966;23:116-117.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jan 1, 1990

References