1992•Archives of NeurologyRequires access

Combined Trochlear Nerve Palsy and Internuclear Ophthalmoplegia

P. Vanooteghem, Ides Dehaene, Michel Van Zandycke, Jan Walther Casselman

Open publisher page 36 citations

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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What this paper is about

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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OpenAlex reports 36 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available 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.

Key concepts: Decussation, Trochlear nerve, Internuclear ophthalmoplegia, Anatomy, Fascicle, Palsy, Magnetic resonance imaging, Lesion

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