title: Bilateral trochlear nerve palsy subsequent to ventriculoperitoneal shunting of normal pressure hydrocephalus.
abstract: Misplacement of the ventricular catheters of shunt systems may result in shunt dysfunction or a variety of neurological symptoms. Bilateral fourth nerve palsy has not been reported thus far after shunting. Here, we describe the occurrence of this unusual neurological deficit in a patient who underwent shunting for normal pressure hydrocephalus, and demonstrate its pathoanatomical correlate.
authors.affiliation: Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
authors.forename: Anja M
authors.initials: AM
authors.lastname: Giesemann
authors.forename: H-Holger
authors.initials: HH
authors.lastname: Capelle
authors.forename: Rolf
authors.initials: R
authors.lastname: Winter
authors.forename: Joachim K
authors.initials: JK
authors.lastname: Krauss
mesh_terms: D000369:Aged, 80 and over; D020773:Headache Disorders / Q000209:etiology; D006801:Humans; D006850:Hydrocephalus, Normal Pressure / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed; D020432:Trochlear Nerve Diseases / Q000209:etiology*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*