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Faculty of Medicine
Document Details
Document Type
:
Article In Journal
Document Title
:
An Unusual Cause of Isolated Trochlear Nerve Palsy.
سبب غريب لشلل اعصب الرابع .
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. I describe an otherwise healthy ten-year-old boy who presented with a five 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 magnetic resonance imaging 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
:
3189-4528
Journal Name
:
Neurosciences Journal
Volume
:
2
Issue Number
:
12
Publishing Year
:
2007 AH
2007 AD
Article Type
:
Article
Added Date
:
Saturday, March 13, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
محمد جان
jan, Mohammed
Researcher
Doctorate
Files
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Type
Description
25896.doc
doc
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