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Iatrogenic Pseudo-Duane Retraction Syndrome Following Orbitozygomatic Craniotomy.
Journal of Pediatric Ophthalmology and Strabismus
|February 2, 2024
Summary
Orbitozygomatic craniotomy can cause restrictive strabismus. A rare case of pseudo-Duane syndrome, characterized by adduction deficit and globe retraction, is described following this neurosurgical procedure.
Area of Science:
- Neurosurgery
- Ophthalmology
- Strabismus
Background:
- Orbitozygomatic craniotomy is a complex surgical procedure.
- Restrictive strabismus is a known complication following this surgery.
Observation:
- A 58-year-old woman developed incomitant left exotropia after orbitozygomatic craniotomy.
- She presented with an adduction deficit, globe retraction, and palpebral fissure narrowing on attempted ocular adduction.
Findings:
- The patient's symptoms mimicked Duane syndrome but were attributed to the surgical procedure, termed pseudo-Duane syndrome.
- This represents the first reported case of pseudo-Duane syndrome following orbitozygomatic craniotomy.
Implications:
- This case highlights a rare but significant neuro-ophthalmic complication of orbitozygomatic craniotomy.
- Understanding pseudo-Duane syndrome is crucial for accurate diagnosis and management in patients post-craniotomy.
- Further research may elucidate the specific mechanisms causing this iatrogenic strabismus.
