• 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.
Vanooteghem P, Dehaene I, Van Zandycke M, Casselman J. Combined Trochlear Nerve Palsy and Internuclear Ophthalmoplegia. Arch Neurol. 1992;49(1):108–109. doi:10.1001/archneur.1992.00530250112025
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