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Combined Trochlear Nerve Palsy and Internuclear Ophthalmoplegia
Paul Vanooteghem, MD;
Ides Dehaene, MD;
Michel Van Zandycke, MD;
Jan Casselman, MD
Arch Neurol. 1992;49(1):108-109.
Abstract
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.
Author Affiliations
From the Departments of Neurology (Drs Vanooteghem, Dehaene, and Van Zandycke) and Medical Imaging (Dr Casselman), Algemeen Ziekenhuis St Jan, Brugge, Belgium.
Footnotes
Accepted for publication August 9, 1991.
Reprint requests to Department of Neurology, Algemeen Ziekenhuis St Jan, Ruddershove 10, 8000 Brugge, Belgium (Dr Dehaene).
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