[Skip to Navigation]
January 1992

Combined Trochlear Nerve Palsy and Internuclear Ophthalmoplegia

Author Affiliations

From the Departments of Neurology (Drs Vanooteghem, Dehaene, and Van Zandycke) and Medical Imaging (Dr Casselman), Algemeen Ziekenhuis St Jan, Brugge, Belgium.

Arch Neurol. 1992;49(1):108-109. doi:10.1001/archneur.1992.00530250112025

• 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.

Add or change institution