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A Case of Herpes Zoster Ophthalmicus with Isolated Trochlear Nerve Involvement

Park KC, Yoon SS, Yoon JE, Rhee HY

BACKGROUND: Herpes zoster ophthalmicus (HZO) can involve the oculomotor nerve; however, isolated trochlear nerve palsy has rarely been reported. CASE REPORT: An 83-year-old man who suffered from HZO in the right...
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Bilateral Innervations to Superior Oblique by Trochlear Nucleus in cats: Retrograde Tracer Study by Horseradish Peroxidase

Yoo JH, Kim JE, Song BR

  • KMID: 2204967
  • J Korean Ophthalmol Soc.
  • 1991 Feb;32(2):195-199.
Trochlear motorneurons were identified by applying horseradish peroxidase(HRP) to superior oblique muscle in cats. Ninety five to ninety seven percent of the contralateral trochlear nucleus were stained 3-5% of ipsilateral...
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Isolated, Contralateral Trochlear Nerve Palsy Associated with a Ruptured Right Posterior Communicating Artery Aneurysm

Son S, Park CW, Yoo CJ, Kim EY, Kim JM

Trochlear nerve palsy associated with spontaneous subarachnoid hemorrhage (SAH) is known to be a rare malady. We report here on a patient who suffered with left trochlear nerve palsy following...
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Combined Facial and Contralateral Trochlear Nerve Palsy in a Patient with Diabetes Mellitus

Choi CJ, Kang SY, Kang JH

  • KMID: 1572319
  • J Korean Neurol Assoc.
  • 2006 Apr;24(2):166-168.
There is an increasing number of reports that the lesion site in isolated cranial neuropathies may be the brainstem. The authors describe a diabetic patient with peripheral type facial palsy...
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Rapid progression from trochlear nerve palsy to orbital apex syndrome as an initial presentation of advanced gastric cancer

Kong E, Koh SA, Kim WJ

The most cases with orbital metastases have been reported in patients with a prior established diagnosis of cancer and widespread systemic involvement. However, ocular symptoms can be developed as an...
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Transient Isolated Trochlear Nerve Palsy Associated with Rathke's Cleft Cyst

Park BH, Choi YC, Kim WJ, Han SH

We report the case of a 52-year-old woman who developed vertical diplopia of 1-days duration. Neuro-ophthalmological testing revealed left trochlear nerve palsy, and sellar MRI revealed a 1.5 cm-sized pituitary...
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A Case of Neurosyphilis with Acute Optic Neuritis and Trochlear Nerve Palsy in Human Immunodeficiency Virus Infected Male

Kim J, Jung H, Kim B, Song Y, Ko M, Pai H

With the increase in human immunodeficiency virus (HIV) infection, the incidence of syphilis also increased worldwide presenting with diverse clinical manifestations. We experienced a case of symptomatic early neurosyphilis manifesting...
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Delayed Trochlear Nerve Palsy Following Traumatic Subarachnoid Hemorrhage: Usefulness of High-Resolution Three Dimensional Magnetic Resonance Imaging and Unusual Course of the Nerve

Ko YS, Yang HJ, Son YJ, Park SB, Lee SH, Chung YS

Cranial nerve palsies are relatively common after trauma, but trochlear nerve palsy is relatively uncommon. Although traumatic trochlear nerve palsy is easy to diagnose clinically because of extraocular movement disturbances,...
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A Case of Trochlear Nerve Schwannoma Presenting with Binocular Diplopia

Kee HJ, Yoo YJ, Kim JH, Yang HK

PURPOSE: To report a case of unilateral trochlear nerve schwannoma in a patient without neurofibromatosis. CASE SUMMARY: A 58-year-old male presented with acute onset of diplopia which developed 10 days prior....
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Microanatomy of Lateral Wall of the Cavernous Sinus

Chung IH, Lee HY, Kang JK, Lee KS

  • KMID: 2067975
  • J Korean Neurosurg Soc.
  • 1993 Jul;22(7):845-852.
In the microsurgical dissection of the lateral wall of the cavernous sinus, interrelationships of its nerves have been studied in 100 Korean adult half heads. And in the serial coronal...
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Isolated Left Trochlear Nerve Palsy Caused by Sphenoid Sinus Mucocele

Lee P, Han JS, Kim YH, Park SY

Paranasal sinus mucoceles are an uncommon cause of isolated palsies of cranial nerves III, IV, and VI. The trochlear nerve has been reported to be less frequently affected than the...
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A Clinical Study of Diplopia Due to Neurologic Disorder

Choi KK

Diplopia may result from a variety of causes. The cases reported here illustrate several etiologies, progneses, and diagnostic investigation. The most common ocular motor palsy was the abducens nerve palsy(48%),...
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A Case of Bilateral Trochlear Nerve Palsy Following Cisternography

Kim KH, Yoon SH, Kim SY

  • KMID: 2338606
  • J Korean Ophthalmol Soc.
  • 2014 Jan;55(1):155-160.
PURPOSE: To report a case of bilateral trochlear nerve palsy following cisternography. CASE SUMMARY: A 43-year-old male with intermittent watery rhinorrhea persisting for 3 months visited the neurosurgery department of our...
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Occurrence of Trochlear Nerve Palsy after Epiduroscopic Laser Discectomy and Neural Decompression

Yoon KJ, Lee EH, Kim SH, Noh MS

Epiduroscopic laser discectomy and neural decompression (ELND) is known as an effective treatment for intractable lumbar pain and radiating pain which develop after lumbar surgery, as well as for herniation...
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Unilateral isolated trochlear nerve palsy due to bilateral dural carotid-cavernous sinus fistulas

Koh IS, Kim HC, Song HK, Lee BC, Bae JC, Yoon DY

  • KMID: 2066095
  • J Korean Neurol Assoc.
  • 1997 Jun;15(3):644-649.
Pulsating exophthalmos, bruit, episcleral venous distention, conjunctival and (eye)lid edema, ophthalmoplegia, and ocular pain have long been regarded as the classic symptoms and signs of idiopathic dural carotid cavernous sinus...
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Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma

Choi NH, Kim WJ, Kim MM

PURPOSE: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. CASE SUMMARY: A 65-year-old male visited our clinic for intermittent vertical diplopia...
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Diagnostic Utility of the Three-Step Test According to the Presence of the Trochlear Nerve in Superior Oblique Palsy

Lee JE, Yang HK, Kim JH, Hwang JM

BACKGROUND AND PURPOSE: To determine the diagnostic utility of the three-step test in unilateral superior oblique palsy (SOP) according to the presence of the trochlear nerve using high-resolution thin-section magnetic...
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Two Cases of Oculomotor Nerve Palsy Due to Dural Carotid Cavernous Fistula

Kwak YT, Park KC, Choi BO, Kim DI, Sunwoo IN

  • KMID: 1957241
  • J Korean Neurol Assoc.
  • 1995 Sep;13(3):646-650.
Two patients were presented with painful unilateral oculomotor nerve palsy and one of them was combined with trochlear nerve palsy. First case was initially thought to have diabetic opthalmoplegia, and...
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Superior Oblique Myokymia Associated with Neurovascular Cross Compression

Chae JH, Shin BS, Seo MW, Hwang SB, Oh SY

Superior oblique myokymia (SOM) is a rare disorder characterized by unilateral paroxysmal oscillopsia or diplopia. Recent studies revealed that SOM can be associated with neuro-vascular cross compression (NVCC) of the...
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Imaging of Cranial Nerves III, IV, VI in Congenital Cranial Dysinnervation Disorders

Kim JH, Hwang JM

Congenital cranial dysinnervation disorders are a group of diseases caused by abnormal development of cranial nerve nuclei or their axonal connections, resulting in aberrant innervation of the ocular and facial...
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