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Brown Syndrome

Practice Essentials

Brown syndrome, in simplest terms, is characterized by restriction of the superior oblique trochlea-tendon complex
such that the affected eye does not elevate in adduction. Individuals with Brown syndrome may exhibit compensatory head turn or chin-up head posture and, occasionally, amblyopia.
The condition is usually unilateral but can be bilateral.

Congenital Brown syndrome is more common than acquired Brown syndrome. Congenital Brown syndrome can be associated with and possibly in the spectrum of congenital cranial dysinnervation disorders. Acquired causes of Brown syndrome include inflammation and trauma.

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