Neurology
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Neurology 1999;53:1126
© 1999 American Academy of Neurology
Brief Communications

Isolated superior oblique palsies with brainstem lesions

Frank Thömke, MD and Kurt Ringel, MD

From the Departments of Neurology (Dr. Thömke) and Neuroradiology (Dr. Ringel), University of Mainz, Germany.

Address correspondence and reprint requests to Dr. Frank Thömke, Department of Neurology, University of Mainz, Langenbeckstr. 1, D-55101 Mainz, Germany.

Isolated unilateral superior oblique palsies resulting from brainstem lesions occurred in three patients. MRI documented contralateral tegmental lesions of the trochlear nucleus and adjacent intraaxial trochlear nerve. Lacunar infarct was the cause in two patients and a small hemorrhage in a third.

Key words: Isolated superior oblique palsies—Brainstem lesions.






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