Brown Syndrome Workup

Updated: Jun 19, 2018
  • Author: Barbara L Roque, MD, DPBO, FPAO; Chief Editor: Edsel B Ing, MD, MPH, FRCSC, PhD, MA  more...
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Laboratory Studies

No laboratory tests are specifically required in the workup of congenital Brown syndrome.

In cases of acquired, nontraumatic Brown syndrome, tests to exclude autoimmune diseases, such as lupus, juvenile rheumatoid arthritis (JRA), and rheumatoid arthritis, may need to be ordered.


Imaging Studies

Consider MRI of the orbit for acquired Brown syndrome, especially if associated with pain, discomfort, signs of inflammation, or an atypical pattern of strabismus.

In some cases, imaging studies may identify pathology in the area of the trochlea, even superior nasal orbital tumors and sinusitis.