• Wenyan Sheng, Wei Ge, and Liwei Zhu.
• Department of Ophthalmology, Hangzhou Red Cross Hospital (Zhe Jiang Chinese Medicine and Western Medicine Integrated Hospital), Hangzhou, Zhejiang, P.R. China.
• Medicine (Baltimore). 2024 Apr 5; 103 (14): e37221e37221.

BackgroundPrevious reports revealed that patients with acquired paralytic strabismus caused by central nervous system diseases are primarily affected by the etiology and treatment of the condition. Strabismus correction for these acquired paralytic strabismus should be performed as soon as the primary disease has been stabilized for 6 months in order to archive a favorable surgical outcome.CaseWe followed an infrequent case of longer-lasting supranuclear ophthalmoplegia secondary to brain stem cavernoma.ObservationA 25-year-old Chinese Han female developed aberrant head posture and ipsilateral conjugate gaze palsies 8 years after the first brainstem hemorrhage caused by pontine cavernoma. The patient was diagnosed with supranuclear ophthalmic palsy and brain stem cavernoma after surgery. A resection-recession procedure along with a rectus muscle transposition was performed. The patient's abnormal head position disappeared, with a normal primary position.ConclusionResection-recession procedures combined with rectus muscle transposition works very well for longer duration large-angle strabismus caused by brain stem cavernoma.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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