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Combined trochlear nerve palsy and internuclear ophthalmoplegia
P Vanooteghem1, I Dehaene, M Van Zandycke
1Department of Neurology, Algemeen Ziekenhuis St Jan, Brugge, Belgium.
Archives of Neurology
|January 1, 1992
Abstract:
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.