title: Possible association of congenital Brown syndrome with congenital cranial dysinnervation disorders.
abstract: BACKGROUND
  Congenital cranial dysinnervation disorders (CCDDs) are known to arise from abnormal development of individual and multiple cranial nerve nuclei or abnormalities in cranial nerve axonal transport. We report our findings for several patients with Brown syndrome in association with other known abnormalities characteristic of CCDDs.
  
  
  METHODS
  The medical records of patients presenting during a 4-year period with congenital Brown syndrome were retrospectively reviewed. Patients with Brown syndrome confirmed by forced ductions were included in the study if the Brown syndrome was associated with either an abnormal development of the superior oblique muscle or superior oblique paresis, ptosis, Duane syndrome, or other known CCDDs.
  
  
  RESULTS
  A total of 9 patients with Brown syndrome were identified. Of these, 3 also demonstrated a contralateral superior oblique palsy; 2, a contralateral Duane syndrome; 1, an ipsilateral congenital ptosis; and 3, a moderate to severely hypoplastic ipsilateral superior oblique muscle.
  
  
  CONCLUSIONS
  Some patients with congenital Brown syndrome are associated with and possibly in the spectrum of CCDDs. We propose that Brown syndrome may be due to abnormal development of the trochlear nerve, which results in physical changes in the superior oblique muscle-tendon-trochlea complex. This results in a tendon that is either long and lax, absent, or abnormally inserted (ie, superior oblique paresis) or a tendon that is restricted in its movements through the trochlea (Brown syndrome).
authors.affiliation: Northern Virginia Ophthalmology Associates, Falls Church, Virginia 22044, USA. Jellis1217@aol.com
authors.forename: Forrest J
authors.initials: FJ
authors.lastname: Ellis
authors.forename: Amy R
authors.initials: AR
authors.lastname: Jeffery
authors.forename: David J
authors.initials: DJ
authors.lastname: Seidman
authors.forename: James B
authors.initials: JB
authors.lastname: Sprague
authors.forename: Tracey
authors.initials: T
authors.lastname: Coussens
authors.forename: Jane
authors.initials: J
authors.lastname: Schuller
mesh_terms: D000293:Adolescent; D000328:Adult; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000150:complications*; D002648:Child; D004370:Duane Retraction Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000151:congenital / Q000175:diagnosis / Q000209:etiology*; D009801:Oculomotor Muscles / Q000002:abnormalities; D012189:Retrospective Studies; D014321:Trochlear Nerve / Q000002:abnormalities; D020432:Trochlear Nerve Diseases / Q000150:complications* / Q000151:congenital*; D055815:Young Adult; D000093922:Congenital Cranial Dysinnervation Disorders