Combined Trochlear Nerve Palsy and Internuclear Ophthalmoplegia
P. Vanooteghem, Ides Dehaene, Michel Van Zandycke, Jan Walther Casselman
Abstract
P. Vanooteghem, Ides Dehaene, Michel Van Zandycke, Jan Walther Casselman
Abstract
We report a case of left superior oblique palsy combined with a right internuclear ophthalmoplegia. A right mesencephalic lesion involving the trochlear nerve nucleus (or its fibers prior to decussation) and the medial longitudinal fascicle was hypothesized. Magnetic resonance imaging showed a lesion at the suspected level.
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We report a case of left superior oblique palsy combined with a right internuclear ophthalmoplegia. A right mesencephalic lesion involving the trochlear nerve nucleus (or its fibers prior to decussation) and the medial longitudinal fascicle was hypothesized. Magnetic resonance imaging showed a lesion at the suspected level.
Key concepts: Decussation, Trochlear nerve, Internuclear ophthalmoplegia, Anatomy, Fascicle, Palsy, Magnetic resonance imaging, Lesion