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Trochlear Nerve Palsy

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[Ocular Motor Nerve Palsies Caused by Paragliding Accidents].

Fabian Lengwiler, Jan Heckmann, Veit Sturm,

BACKGROUND:Paragliding is a risk-taking adventure sport. It can be performed either individually or accompanied by a pilot in tandem formation. Paragliding, as well as other types of "extreme" sport, have gained popularity over the past few years. Injuries predominantly involve the lower extremities and the spinal column. Head injuries occur ... Read more >>

Klin Monbl Augenheilkd (Klinische Monatsblatter fur Augenheilkunde)
[2020, :]

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Unilateral Fourth Nerve Palsy due to Presumed Metastatic Melanoma.

Joshua Pasol, Eric A Mellon, Lynn G Feun, Gaurav M Saigal, Tejan P Diwanji, Ricardo J Komotar,

An 81-year-old man with a history of metastatic melanoma presented with sudden onset of painless, binocular vertical diplopia. The clinical examination was consistent with a right fourth nerve palsy. An MRI of the head revealed a mass dorsal to the right tectum at the level of the inferior colliculus. An ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, :]

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Neuroimaging of septo-optic dysplasia-plus with midbrain hypoplasia and ophthalmoplegia.

Colin Y Wang, Daniel T Ginat,

Septo-optic dysplasia is a rare brain malformation that can be associated with anomalous cortical development, such as schizencephaly, which is referred to as septo-optic dysplasia plus. This report describes septo-optic dysplasia-plus associated with unilateral atrophy of the midbrain and oculomotor nerve deficiency, which was diagnosed on MRI in a teenage ... Read more >>

eNeurologicalSci (eNeurologicalSci)
[2020, 19:100235]

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Clinical outcomes and aetiology of fourth cranial nerve palsy with acute vertical diplopia in adults.

Shin Yeop Oh, Sei Yeul Oh,

BACKGROUND:We investigated the clinical outcomes of fourth cranial nerve (CN4) palsy with acute vertical diplopia in adults. METHODS:A total of 80 patients with acute CN4 palsy who underwent at least 3 months of follow-up were included in this study. We retrospectively investigated the aetiology, rate of recovery, and factors associated ... Read more >>

Eye (Lond) (Eye (London, England))
[2020, :]

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Localizing Thalamomesencephalic Afferent and Efferent Pupillary Defects.

Ardalan Sharifi, Rohini R Sigireddi, Lance J Lyons, Ashwini T Kini, Bayan A Al Othman, Andrew G Lee,

A 42-year-old Algerian man presented for binocular oblique diplopia, hypersomnolence with drop attacks, bilateral hearing loss, and thoracic pain. He had a right thalamomesencephalic hemorrhage due to an underlying cavernous malformation treated with subtotal surgical resection. On neuro-ophthalmic examination, the patient had a left relative afferent pupillary defect and a ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, :]

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An Oculopharyngeal Subtype of Guillain-Barré Syndrome Sparing the Trochlear and Abducens Nerves.

Masafumi Arakawa, Mineo Yamazaki, Yusuke Toda, Akiko Ozawa, Kazumi Kimura,

Guillain-Barré syndrome (GBS) comprises a group of polyneuropathies characterized by rapid progression of limb paralysis. Various subtypes of GBS have been reported. The oculopharyngeal subtype of GBS is currently understood to be primarily a cranial polyneuropathy without limb weakness or cerebellar ataxia. In our case of 62-year-old man, gastrointestinal infection ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2020, :]

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Two-Dimensional Video of Surgery on Trochlear Schwannoma.

Münibe Büşra Erdem, Enes Kara, Mesut Emre Yaman, Şükrü Aykol,

Trochlear schwannoma in the absence of neurofibromatosis is a rare entity.1 These schwannomas originate usually from the intradural cisternal part of the nerve and expand in the ambient and interpeduncular cisterns as well as inferiorly in the upper part of the cerebellopontine cistern.2 This case involves a rare pontomesencephalic lesion ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 135:112]

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Dorsolateral pontine syndrome and contralateral fourth nerve palsy in a post-stroke patient.

Christopher J Borgman,

Clin Exp Optom (Clinical & experimental optometry)
[2019, :]

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[Paying attention to the application of imaging examination in strabismus].

W Zhang, R Hao,

There are many pathogenic factors of strabismus. In addition to the changes of alignment and ocular movement, there may be abnormal pathways and development of extraocular muscles, abnormalities of orbital and intraorbital connective tissue, paralysis of cranial nerves (oculomotor nerve, trochlear nerve, and abductor nerve), and nuclear and supranuclear lesions, ... Read more >>

Zhonghua Yan Ke Za Zhi ([Zhonghua yan ke za zhi] Chinese journal of ophthalmology)
[2020, 56(3):166-170]

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Doctor, I'm Seeing Two of Everything.

Alex Davis, Christopher M Lloyd,

Acute diplopia is a rare chief complaint with a broad differential diagnosis; key historical and physical characteristics aid with emergency management. This case report discusses the important findings, imaging, and multidisciplinary interaction between emergency medicine, ophthalmology, and neurology regarding the approach to addressing acute painless vertical diplopia. A 51-year-old male presented to ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6602]

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Trochlear nerve palsy and contralateral internuclear ophthalmoplegia: an unusual crossed syndrome.

Christopher J Borgman,

Clin Exp Optom (Clinical & experimental optometry)
[2019, :]

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Sudden-onset trochlear nerve palsy: clinical characteristics and treatment implications.

Jinali R Diora, David A Plager,

PURPOSE:To identify clinical characteristics, etiologies, and treatment implications of sudden-onset, acquired cases of superior oblique palsy. METHODS:The medical records of patients diagnosed with trochlear nerve palsy between January 2010 and January 2018 were reviewed retrospectively to identify cases of acquired trochlear nerve palsy with a specific date of onset of ... Read more >>

J AAPOS (Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus)
[2019, :]

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Degree of excyclotorsion in an acquired trochlear nerve palsy.

Christopher J Borgman, Caitlin J Follansbee,

Clin Exp Optom (Clinical & experimental optometry)
[2019, :]

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Cause of acquired onset of diplopia due to isolated third, fourth, and sixth cranial nerve palsies in patients aged 20 to 50 years in Korea: A high resolution magnetic resonance imaging study.

Kyung-Ah Park, Sei Yeul Oh, Ju-Hong Min, Byoung Joon Kim, Yikyung Kim,

AIMS:This study aimed to describe the etiologies of acquired onset of diplopia due to isolated third, fourth, and sixth cranial nerve palsies in young adults in Korea. METHODS:This retrospective study included 127 patients aged 20 to 50 years with acquired onset isolated third, fourth, and sixth cranial nerve palsies who received ... Read more >>

J. Neurol. Sci. (Journal of the neurological sciences)
[2019, 407:116546]

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Tolosa-Hunt Syndrome: Long-Term Outcome and Role of Steroid-Sparing Agents.

Anupriya Arthur, Ajith Sivadasan, Pavitra Mannam, A T Prabakhar, Sanjith Aaron, Vivek Mathew, M Karthik, Rohith Ninan Benjamin, Shaikh Atif Iqbalahmed, Gideon Lyngsyun Rynjah, Mathew Alexander,

Background:Tolosa-Hunt Syndrome (THS) is one of the causes of cavernous sinus syndrome causing painful ophthalmoplegia. Literature on long-term outcome of this rare condition is scarce. Aims and Objectives:The aim is to study the recurrence and role of steroid-sparing agents in THS. Methodology:All cases of THS treated at a tertiary-level teaching ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):201-205]

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Functional Outcome of Bell Tawse Procedure for the Management of Chronic Unreduced Monteggia Fracture-Dislocation in Children.

E G Mohan Kumar, G M Yathisha Kumar, Mohammed Noorudheen,

Aim of Study:Unreduced or missed Monteggia fracture-dislocation after 4 weeks is a common presentation in a tertiary care center. The aim of this study is to study the functional outcome of Bell Tawse procedure for the management of chronic unreduced Monteggia fracture-dislocation in children. Materials and Methods:In this retrospective study ... Read more >>

Indian J Orthop (Indian journal of orthopaedics)
[2019, 53(6):745-750]

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Long-Term Efficacy and Complications of Radiofrequency Thermocoagulation at Different Temperatures for the Treatment of Trigeminal Neuralgia.

Tao Hong, Yuanyuan Ding, Peng Yao,

Trigeminal neuralgia (TN) is a common neuropathic pain that seriously affects the daily life of patients. Many invasive treatments are currently available for patients who respond poorly to oral carbamazepine or oxcarbazepine. Among them, radiofrequency (RF) treatment is a viable option with reliable initial and long-term clinical efficacy. The long-term ... Read more >>

Biochem Res Int (Biochemistry research international)
[2020, 2020:3854284]

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Acute onset binocular diplopia: a retrospective observational study of 100 consecutive cases managed at a tertiary eye centre in Saudi Arabia.

Sunil Kumar,

OBJECTIVE:To evaluate the demography, aetiology and clinical course of acute onset binocular diplopia (AOBD) in patients presented as emergency and managed at the neuroophthalmology clinic of a tertiary eye care centre in Saudi Arabia. PATIENTS AND METHODS:A retrospective review of the medical records of 100 consecutive patients who attended the ... Read more >>

Eye (Lond) (Eye (London, England))
[2019, :]

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[Trochlearis palsy due to chronic sinusitis].

Elisa Skovgaard Jensen, Steen Nepper-Christensen,

Chronic rhinosinusitis and nasal polyposis are common rhinological diagnoses. Left untreated both diseases can result in visual dysfunctions because of their close proximity to orbita. We report a rare case of an isolated trochlear nerve palsy caused by chronic sinusitis and nasal polyposis. The patient was a healthy 54-year-old woman. ... Read more >>

Ugeskr. Laeg. (Ugeskrift for laeger)
[2019, 181(36):]

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Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level.

Takuya Kameda, Ejiri Soichi, Takeru Yokota, Shin-Ichi Konno,

A pedicled latissimus dorsi (LD) myocutaneous flap is a reliable reconstructive method for elbow flexion, though there are no reports regarding its application to a terminal nerve level injury of the brachial plexus. A 29-year-old man presented with dysfunction of elbow flexion, wrist extension, and finger extension. Physical examination and ... Read more >>

Plast Reconstr Surg Glob Open (Plastic and Reconstructive Surgery Global Open)
[2019, 7(10):e2472]

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Vertical Diplopia: Skew Deviation and Medullary Lesion.

Arunmozhimaran Elavarasi, Balachandran Mani,

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2019, 22(4):490]

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Evaluation of Functional Outcome of Elbows after Resection Arthroplasty of Failed Total Elbow Replacement.

Ananda Kisor Pal, Debadyuti Baksi, Rahul Mondal, Durgapada Baksi,

Background:Recovery of elbow function is a challenging problem following resection arthroplasty after failure of total elbow prosthesis. The objective of this study is to evaluate long term functional outcome in a series of such patients. Materials and Methods:Nineteen patients with twenty elbows who had failed total elbow arthroplasty (TEA) following ... Read more >>

Indian J Orthop (Indian journal of orthopaedics)
[2019, 53(6):776-784]

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Monteggia lesion and its equivalents in children.

M Čepelík, T Pešl, J Hendrych, P Havránek,

Purpose:The aim of the study is to evaluate our group of paediatric patients with Monteggia lesion and its equivalents and to compare the characteristics of basic types of these lesions concerning therapeutic approach and results of the treatment. Methods:Retrospective study of 111 children treated in the Department of Pediatric and ... Read more >>

J Child Orthop (Journal of children's orthopaedics)
[2019, 13(6):560-568]

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Don't Miss This! Red Flags in the Pediatric Eye Examination: Ophthalmoplegia in Childhood.

Michael X Repka,

Paralytic strabismus in children is rare, occurring in about 0.1% of children. This rate is far less common than the 3% rate usually noted for comitant strabismus. The relative rates of ocular motor pareses were fourth nerve palsies in 36%, sixth in 33%, third in 22%, with multiple ocular motor ... Read more >>

J Binocul Vis Ocul Motil (Journal of binocular vision and ocular motility)
[2019, 69(3):93-97]

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Surgical management of Gartland type III supracondylar humerus fractures in older children: a retrospective study.

Mingjing Li, Jian Xu, Tao Hu, Ming Zhang, Fan Li,

The aim of this study was to analyse the management of Gartland type III supracondylar humerus fractures in children older than 10 years at our paediatric orthopaedics and to determine the clinical and radiographic long-term effects following open reduction by the small medial approach and cross-fixation with three kirschner wires. ... Read more >>

J Pediatr Orthop B (Journal of pediatric orthopedics. Part B)
[2019, 28(6):530-535]

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