title: A rare case of Bruns syndrome with bilateral superior oblique palsy and dorsal midbrain syndrome.
abstract: We report a case of an 11-year-old boy referred for evaluation of esotropia associated with a 4-year history of intermittent headaches and vomiting triggered by sudden movements, such as sneezing and coughing. Magnetic resonance imaging (MRI) performed 3 years previously was reported to be normal. A thorough clinical examination revealed the clinical features of Dorsal midbrain syndrome with Bruns syndrome and bilateral superior oblique palsy. Advanced MRI sequences revealed a freely mobile intraventricular cysticercus causing obstructive panhydrocephalus.
authors.affiliation: Strabismus and Neuro-ophthalmology Services, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rebika
authors.initials: R
authors.lastname: Dhiman
authors.affiliation: Strabismus and Neuro-ophthalmology Services, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Medha
authors.initials: M
authors.lastname: Sharma
authors.affiliation: Strabismus and Neuro-ophthalmology Services, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anin
authors.initials: A
authors.lastname: Sethi
authors.affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Atin
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Strabismus and Neuro-ophthalmology Services, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Electronic address: rohitsaxena80@yahoo.com.
authors.forename: Rohit
authors.initials: R
authors.lastname: Saxena
mesh_terms: D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D020235:Gait Apraxia / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000000981:diagnostic imaging*; D015835:Ocular Motility Disorders / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D013577:Syndrome; D020432:Trochlear Nerve Diseases / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology