Isolated trochlear nerve palsy with midbrain hemorrhage | Zendy

S Raghavendra | Zendy; K Vasudha | Zendy; SRavi Shankar | Zendy

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Isolated trochlear nerve palsy with midbrain hemorrhage

Author(s) -

S Raghavendra,

K Vasudha,

SRavi Shankar

Publication year - 2009

Publication title -

indian journal of ophthalmology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.542

H-Index - 51

eISSN - 1998-3689

pISSN - 0301-4738

DOI - 10.4103/0301-4738.58476

Subject(s) - midbrain , trochlear nerve , palsy , medicine , oculomotor nerve palsy , neuroimaging , anatomy , anesthesia , pathology , central nervous system , psychiatry , alternative medicine

Midbrain hemorrhage causing isolated fourth nerve palsy is extremely rare. Idiopathic, traumatic and congenital abnormalities are the most common causes of fourth nerve palsy. We report acute isolated fourth nerve palsy in an 18-year-old lady due to a midbrain hemorrhage probably due to a midbrain cavernoma. The case highlights the need for neuroimaging in selected cases of isolated trochlear nerve palsy.

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