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BRIEF COMMUNICATION
Year : 2010  |  Volume : 58  |  Issue : 1  |  Page : 66-67

Isolated trochlear nerve palsy with midbrain hemorrhage


Department of Neuroophthalmology and Department of Neuropathology, Narayana Netaralaya, Bangalore, India

Correspondence Address:
S Raghavendra
Narayana Nethralaya and Kanva Diagnostic Centre, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.58476

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Midbrain hemorrhage causing isolated fourth nerve palsy is extremely rare. Idiopathic, traumatic and congenital abnormalities are the most common causes of fourth nerve palsy. We report acute isolated fourth nerve palsy in an 18-year-old lady due to a midbrain hemorrhage probably due to a midbrain cavernoma. The case highlights the need for neuroimaging in selected cases of isolated trochlear nerve palsy.


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