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Traumatic bilateral fourth nerve palsy: Double vision induced by downward gaze after head injury
Masaki Tago1, Yoshio Hisata1, Risa Hirata1
1Department of General Medicine Saga University Hospital Saga Japan.
Abstract:
Clinicians should be alert to traumatic fourth nerve palsy in patients with double vision after head injury. In most cases with traumatic fourth nerve palsy, the imaging tests fail to show abnormal findings. In the cases of bilateral superior oblique paresis, the sensitivity of Bielschowsky head-tilt test is 40%.
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