Combined trochlear nerve palsy and internuclear ophthalmoplegia
P. Vanooteghem, I. Dehaene, M. Van Zandycke and J. Casselman
Department of Neurology, Algemeen Ziekenhuis St Jan, Brugge, Belgium.
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.
