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Encyclopedia > Brown's syndrome
Brown's syndrome
Classification & external resources
ICD-10 H50.6
ICD-9 378.61
DiseasesDB 34071

Brown's syndrome is due to fibrous adhesions in the upper medial quadrant of the orbit. These lesions involve the superior oblique tendon and trochlea and mechanically limit eye elevation. Limitation of elevation is most marked in the adducted position, and elevation improvement occurs gradually as the eye is abducted. Differential diagnosis is concerned mainly with paresis of the inferior oblique muscle. Forced duction testing is diagnostic, since there is an upward restriction to elevation in adduction when Brown's syndrome is present. The condition is usually unilateral and idiopathic, though rarely it may be due to trauma or inflammation. The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ... // H00-H59 - Diseases of the eye and adnexa (H00-H06) Disorders of eyelid, lacrimal system and orbit (H00) Hordeolum and chalazion (H000) Hordeolum and other deep inflammation of eyelid (H001) Chalazion (H01) Other inflammation of eyelid (H010) Blepharitis (H011) Noninfectious dermatoses of eyelid (H02) Other disorders of eyelid (H020) Entropion... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Disease Bold textDatabase is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... In anatomy, the orbit is the cavity or socket of the skull in which the eye and its appendages are situated. ... Trochlea (Latin for pulley) can refer to: Trochlea of humerus Trochlea of superior oblique (see also superior oblique muscle). ... In anatomy and physiology, adduction is the moving of limbs towards the midline of the body. ... Abduction, in functional anatomy, is a movement which draws a limb away from the median plane of the body. ... Idiopathic means arising spontaneously or from an obscure or unknown cause. ...


Treatment

Surgical treatment is limited to cases where an abnormal head position is present to compensate for the limitations of the involved eye. The objective is to free the mechanical adhesions and weaken the superior oblique muscle. Normalization of the head position may occur, but restoration of full motility is seldom achieved.


External links

  • Animation at mrcophth.com


 
 

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