Brown syndrome

Case contributed by Alexandre NIRO
Diagnosis certain

Presentation

Painful right eye with ophthalmoplegia.

Patient Data

Age: 45 years
Gender: Female
mri

Increasing signal intensity on T2 fat sat sequence and T1 C+ enhancement located around the tendon sheath of the right superior oblique muscle, sparing its body.

Other oculomotor muscles are normal.

Brain parenchyma is unremarkable (apart from a pineal cyst).

Case Discussion

This is a typical case of Brown syndrome. The patient recovered after a prescription of steroids. No etiology was found after a complete investigation.

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