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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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Acquired Ocular Motor Nerve Palsy in Neurology Clinics: A Prospective Multicenter Study

Choi KD, Choi SY, Kim JS, Choi JH, Yang TH, Oh SY, Kim SH, Lee HS, Lee SH, Jeong SH, Kim HJ, Choi JY

BACKGROUND AND PURPOSE: This study aimed to determine the patterns and etiologies of acquired ocular motor nerve palsy (OMNP) diagnosed in neurology clinics. We also investigated the clinical features that...
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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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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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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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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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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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Use of Video-oculography in the Diagnosis of Superior Oblique Myokymia

Chung SR, Lee TE, You IC, Cho NC, Ahn M

PURPOSE: Superior oblique myokymia is intermittent spontaneous contractions of the superior oblique muscle presenting as rapid and small-amplitude intorsions and depressions of the eye. The authors report a case of...
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Risk Factors and Prognosis of Isolated Ischemic 3rd, 4th, 6th Cranial Nerve Palsy

Chun JW, Kim DH

PURPOSE: To investigate the clinical features and risk factors of ischemic third, fourth, sixth cranial nerve palsy. METHODS: Retrospectively, we reviewed the medical records of 46 eyes of 46 patients who...
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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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Clinical Features and Natural Course of Superior Oblique Palsy

Hyun J, Kim SY

PURPOSE: To evaluate the natural course of superior oblique palsy (SOP) with objective criteria, and to show the contemporary etiology and recovery rates among several factors. The clinical features of...
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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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Relationship of Hypertropia and Excyclotorsion in Superior Oblique Palsy

Lee JJ, Chun KI, Baek SH, Kim US

PURPOSE: To evaluate the correlation between hypertropia and excyclotorsion in acquired superior oblique palsy (SOP). METHODS: Thirty-one patients with acquired unilateral SOP were recruited for this study. The torsional angle of...
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Acute-Onset Vertical Strabismus in Adults

Lee YH, Kim JE, Rah SH

PURPOSE: To define the clinical characteristics of acute vertical strabismus in adults strabismus without known ocular and cranial external factors. METHODS: We performed a retrospective study of 72 adult patients who...
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Superior Rectus Muscle Recession for Residual Head Tilt after Inferior Oblique Muscle Weakening in Superior Oblique Palsy

Ahn SJ, Choi J, Kim SJ, Yu YS

PURPOSE: Residual head tilt has been reported in patients with superior oblique muscle palsy (SOP) after surgery to weaken the inferior oblique (IO) muscle. The treatments for these patients have...
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Contemplation of the Surgical Normogram of Lateral Rectus Recession for Exotropia Associated with Superior Oblique Palsy

Lee JY, Kim SH, Yi ST, Lee TE, Cho YA

PURPOSE: To suggest a surgical normogram for lateral rectus recession in exotropia associated with unilateral or bilateral superior oblique muscle palsy (SOP). METHODS: We retrospectively reviewed the charts of 71 patients...
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Isolated Oculomotor Nerve Palsy Caused by Cavernous Sinus Dural Arteriovenous Fistula: Case Report

Ihn YK, Jung WS, Kim BS

Cavernous dural arteriovenous fistula (DAVF), which usually presents with conjunctival injection, proptosis, loss of visual acuity, and ophthalmoplegia, is a rare cause of ophthalmoplegia. Thus, it may be overlooked when...
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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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Clinical Study of Motor Paresis in In-patients with Herpes Zoster

Son HH, Sim HS, Lee SK

  • KMID: 2247523
  • Korean J Dermatol.
  • 2011 Nov;49(11):961-968.
BACKGROUND: Although herpes zoster primarily affects afferent sensory neurons, it may complicated by motor nerve involvement in 0.5% to 5% of cases. However herpes zoster-induced muscle paresis is still under-recognized...
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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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