An Interesting Case of Acquired Brown Syndrome - Superior Oblique Myocysticercosis

Sanjay Dhar
2019 Delhi Journal of Ophthalmology  
Purpose: To report a case of acquired Brown syndrome due to myocysticercosis of superior oblique muscle. Case Report: A 10-year-old male child presented with headache, right ocular pain, proptosis and diplopia. On evaluation patient was found to have limitation of elevation in adduction in right eye. Imaging showed myocysticercosis of right superior oblique muscle. Patient was treated with Tab Albendazole for 04 weeks. Patient responded to the treatment well and all the symptoms resolved along
more » ... oms resolved along with restriction of elevation in adduction. Conclusion: Ocular myocysticercosis should be kept in mind in cases of restrictive squints of recent onset, although it may have varied presentations in pediatric population. Systemic workup along with the imaging is required to establish the diagnosis. Treatment is with Tab Albendazole 15mg/kg body weight under initial cover of oral steroids.
doi:10.7869/djo.507 fatcat:ma7gh53rbfdwzhcnlhz3dyeyqe