Related Experiment Video
Updated: Aug 15, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
[Superior oblique myokymia secondary to neurovascular compression]
A Ehongo1, Farah H Abi, C Neugroschl
1Service d'Ophtalmologie, Hôpital Erasme.
Abstract:
In a patient with superior oblique myokymia, a contact is visualised between the right trochlear nerve and a vascular structure by high resolution thin slices magnetic resonance images coupled to angio-MR. A similar contact is not visualised on the left side. This suggests that the neuro-vascular contact is the cause of this superior oblique myokymia and offers the possibility of neuro-surgical decompression if necessary.
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