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Trochlear nerve palsy associated with Moyamoya disease
Donggyu Cho1, Francis O Walker2, Byung-Ju Ryu3
1Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 02500, Republic of Korea.
This study reports a rare case of trochlear nerve palsy, a form of double vision, in a patient with Moyamoya disease (MMD) complicated by intracranial hemorrhage. The hemorrhage likely damaged the brainstem, causing contralateral eye deviation.
Area of Science:
- Neurology
- Neuroscience
- Ophthalmology
Background:
- Moyamoya disease (MMD) is a rare cerebrovascular disorder characterized by progressive stenosis of the internal carotid arteries and their branches.
- Intracranial hemorrhage is a known complication of MMD, potentially leading to various neurological deficits.
- Trochlear nerve palsy, causing vertical double vision and characteristic head tilt, is typically associated with specific brainstem or nerve lesions.
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