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Trochlear nerve palsy associated with Moyamoya disease.
J Clin Neurosci 2019; 66:266-268JC

Abstract

A 48-year-old woman with intracranial hemorrhage at the right hemisphere and the right midbrain was diagnosed as Moyamoya disease (MMD). While restoring consciousness, she complained of diplopia. The left hypertropia with a compensatory right head tilt was noted. The follow up brain image showed the evidence of past hemorrhage at the level of the right inferior colliculus. In this case, the hemorrhage directly damaged the right trochlear nucleus or intra-axial trochlear nerve before decussation and caused left (contralateral) hypertropia. To our knowledge, no report has been described of the trochlear nerve palsy in hemorrhagic Moyamoya disease. Here, we present a case of the patient with trochlear nerve palsy after hemorrhagic MMD and summarize the characteristics of trochlear nerve palsy according to its lesion sites.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 02500, Republic of Korea.Department of Neurology, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1078, United States.Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 02500, Republic of Korea; Department of Neurology, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1078, United States. Electronic address: btjrbj@gmail.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31182268

Citation

Cho, Donggyu, et al. "Trochlear Nerve Palsy Associated With Moyamoya Disease." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 66, 2019, pp. 266-268.
Cho D, Walker FO, Ryu BJ. Trochlear nerve palsy associated with Moyamoya disease. J Clin Neurosci. 2019;66:266-268.
Cho, D., Walker, F. O., & Ryu, B. J. (2019). Trochlear nerve palsy associated with Moyamoya disease. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 66, pp. 266-268. doi:10.1016/j.jocn.2019.05.046.
Cho D, Walker FO, Ryu BJ. Trochlear Nerve Palsy Associated With Moyamoya Disease. J Clin Neurosci. 2019;66:266-268. PubMed PMID: 31182268.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trochlear nerve palsy associated with Moyamoya disease. AU - Cho,Donggyu, AU - Walker,Francis O, AU - Ryu,Byung-Ju, Y1 - 2019/06/07/ PY - 2019/04/10/received PY - 2019/05/27/accepted PY - 2019/6/12/pubmed PY - 2019/10/30/medline PY - 2019/6/12/entrez KW - Diplopia KW - Intracerebral hemorrhage KW - Moyamoya disease KW - Strabismus KW - Trochlear nerve SP - 266 EP - 268 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 66 N2 - A 48-year-old woman with intracranial hemorrhage at the right hemisphere and the right midbrain was diagnosed as Moyamoya disease (MMD). While restoring consciousness, she complained of diplopia. The left hypertropia with a compensatory right head tilt was noted. The follow up brain image showed the evidence of past hemorrhage at the level of the right inferior colliculus. In this case, the hemorrhage directly damaged the right trochlear nucleus or intra-axial trochlear nerve before decussation and caused left (contralateral) hypertropia. To our knowledge, no report has been described of the trochlear nerve palsy in hemorrhagic Moyamoya disease. Here, we present a case of the patient with trochlear nerve palsy after hemorrhagic MMD and summarize the characteristics of trochlear nerve palsy according to its lesion sites. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/31182268/Trochlear_nerve_palsy_associated_with_Moyamoya_disease L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(19)30726-X DB - PRIME DP - Unbound Medicine ER -