Combined trochlear nerve palsy and internuclear ophthalmoplegia.
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.
Vanooteghem
P
P
Department of Neurology, Algemeen Ziekenhuis St Jan, Brugge, Belgium.
Dehaene
I
I
Van Zandycke
M
M
Casselman
J
J
D000328:Adult; D003389:Cranial Nerve Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D009886:Ophthalmoplegia / Q000150:complications* / Q000175:diagnosis; D010243:Paralysis / Q000150:complications* / Q000175:diagnosis; D014321:Trochlear Nerve