DR. SALONI SINHA

Dr. SABITA DEVI, Dr.SHAGUFA JAMAL, Dr.REIKHONGUL RANGLA

Abstract

Proptosis in paediatric population can be a diagnostic challenge. The causes could be benign or it could also be a manifestation of rare or omnious conditions.

We hereby report a case of a 12-year-old boy who presented to our OPD with complaints of bilateral proptosis since childhood and diminution of vision in both eyes since last 6 months. On examination, his VA was CFCF in both eyes. The child was also found to have telecanthus, exotropia in left eye, mid facial hypoplasia and dental anomalies. Fundoscopy revealed bilateral primary optic atrophy. MRI was done and it revealed tonsillar herniation.

The patient was diagnosed as a case of Crouzon Syndrome based on clinical and radiological findings and was sent for urgent Neuro surgery consultation.

Through this case report we want to emphasize on the importance of systematic evaluation of proptosis in all children so that rare syndromes are not missed and they can be provided with a multi disciplinary management for best outcomes.