Bilateral trochlear nerve palsies following dorsal midbrain haemorrhage.
Bilateral trochlear nerve palsies without other signs of dorsal midbrain syndrome following spontaneous midbrain haemorrhage is extremely rare. We report the case of a 37-year-old man with bilateral trochlear nerve palsies causing superior oblique palsies (SOP) from dorsal midbrain haemorrhage which recovered with conservative management. The report highlights the need for imaging in patients with spontaneous bilateral superior oblique (BSO) motility deficits.
Simon
Sumu
S
South Australian Institute of Ophthalmology and Discipline of Ophthalmology and Visual Sciences, Royal Adelaide Hospital, North Terrace, Adelaide-5000, Australia. sumusimon@yahoo.co.in
Sandhu
Avninder
A
Selva
Dinesh
D
Crompton
John L
JL
D000328:Adult; D000437:Alcoholism / Q000150:complications; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000473:pathology; D004172:Diplopia / Q000209:etiology; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology; D010292:Paresthesia / Q000209:etiology; D014012:Tinnitus / Q000209:etiology; D020432:Trochlear Nerve Diseases / Q000209:etiology*; D034941:Upper Extremity