Isolated Unilateral Trochlear Nerve Palsy Due to Ipsilateral Dorsal Midbrain Infarction

被引:0
作者
Tsuda, Hiromasa [1 ]
Ito, Kansuke
Tanaka, Kozue
Miura, Yoshiharu
Kishida, Shuji
Sekiya, Ryoko [2 ]
机构
[1] Tokyo Metropolitan Canc & Infect Dis Ctr, Komagome Hosp, Dept Neurol, Bunkyo Ku, Tokyo 1138677, Japan
[2] Tokyo Metropolitan Canc & Infect Dis Ctr, Komagome Hosp, Dept Endocrinol & Metab, Tokyo 1138677, Japan
关键词
Brainstem; Diplopia; Fourth nerve palsy; Magnetic resonance imaging; Ophthalmoplegia; HORNERS-SYNDROME; PARESIS;
D O I
10.3109/01658107.2012.688236
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 67-year-old Japanese man with essential hypertension and diabetes mellitus abruptly developed isolated right-sided trochlear nerve palsy without pain. Four days later, cranial magnetic resonance imaging demonstrated a tiny ischaemic lesion in the caudal and dorsal midbrain on the right side, which might involve the trochlear fascicles after its decussation. The trochlear nerve palsy resolved within 4 days while treated with intravenous anti-platelet agent. This is a first reported case of isolated unilateral trochlear nerve palsy due to ipsilateral midbrain infarction.
引用
收藏
页码:146 / 148
页数:3
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