Post-traumatic superior oblique tendon nodule associated with acquired Brown syndrome.

Journal Article (Journal Article)

A 67-year-old woman presented with a left hypotropia and eye pain after a traumatic fall. She had multiple left orbital wall fractures and an acquired limitation to elevation in all gazes, worse in adduction, suggestive of Brown syndrome. During strabismus surgery, a white nodule on the superior oblique tendon was identified and excised. Histopathology of the nodule revealed densely aggregated inflamed fibrovascular and fibrocollagenous scar tissue. Superior oblique rupture with spontaneous reparative reapproximation resulting in nodular formation is uncommon. We speculate that resulting tendon shortening may have contributed to the apparent Brown syndrome in this patient.

Full Text

Duke Authors

Cited Authors

  • Law, MX; Cummings, TJ; Velez, FG

Published Date

  • October 2020

Published In

Volume / Issue

  • 24 / 5

Start / End Page

  • 309 - 312

PubMed ID

  • 32687877

Electronic International Standard Serial Number (EISSN)

  • 1528-3933

Digital Object Identifier (DOI)

  • 10.1016/j.jaapos.2020.05.005


  • eng

Conference Location

  • United States