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

来源：

NEURO-OPHTHALMOLOGY | 2012年 / 36卷 / 04期

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

页码：146 / 148

页数：3

共 10 条

[1]

COPPETO JR, 1983, ANN OPHTHALMOL, V15, P681

[2] CONTRALATERAL TROCHLEAR NERVE PARESIS AND IPSILATERAL HORNERS SYNDROME [J].