Document Details Document Type : Article In Journal  Document Title : An unusual case of isolated trochlear nerve palsy An unusual case of isolated trochlear nerve palsy   Document Language : English  Abstract : Trochlear nerve palsy is rarely encountered in children and only 5% are truly isolated. Multiple sclerosis (MS) is also extremely uncommon in children. This report describes an otherwise healthy 10-year-old boy who presented with a 5-day history of vertical diplopia with associated dizziness, decreased appetite, and unsteadiness. He had no recent history of infection and no previous history of neurological symptoms. Ophthalmologic assessment revealed full ocular ductions and right hyperdeviation in primary gaze during alternate cover test. This hyperdeviation increased during left gaze, and right head tilt consistent with paresis of the right oblique muscle. Brain MRI revealed multiple well-defined hyperintense T2 lesions in the periventricular and subcortical white matter, and brainstem, suggestive of MS. His symptoms resolved after 2 weeks with no treatment. To conclude, isolated trochlear nerve palsy can be the initial clinical manifestation of childhood MS. Long term follow up is needed to confirm the diagnosis of MS  ISSN : 1658-3183  Journal Name : Neurosciences  Volume : 12  Issue Number : 2  Publishing Year : 1428 AH 2007 AD  Article Type : Case Report  Added Date : Monday, March 31, 2008  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email محمد جان Jan, Mohammed Researcher Doctorate mmsjan@yahoo.com Files File Name Type Description  Trochlear_Neuropathy.pdf pdf مشاهدة المقالة العلمية كاملة Back To Researches Page