| Title |
Isolated Fourth Nerve Palsy in Nontraumatic Tentorial Hemorrhage |
| Creator |
Eyal Walter; Jonathan D. Trobe |
| Affiliation |
Department of Ophthalmology and Visual Sciences (EW, JDT), Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan; and Department of Neurology (JDT), University of Michigan, Ann Arbor, Michigan |
| Abstract |
A 46-year-old woman being treated with warfarin for antiphospholipid antibody syndrome experienced a rise in international normalized ratio (INR) to 5.4 and developed sudden headache and diplopia. Neuro-ophthalmologic examination disclosed a right fourth nerve palsy. Noncontrast computed tomography revealed a subdural hematoma layered along the right tentorium cerebelli, directly in the path of the nerve. With normalization of the INR, the palsy markedly improved over subsequent weeks. This is a unique case of a nontraumatic subdural hematoma causing a fourth nerve palsy. |
| Subject |
Cerebral Hemorrhage / complications; Cerebral Hemorrhage / diagnosis; Diplopia / diagnosis; Diplopia / etiology; Dura Mater / blood supply; Dura Mater / diagnostic imaging; Female; Humans; Middle Aged; Tomography, X-Ray Computed; Trochlear Nerve Diseases / complications; Trochlear Nerve Diseases / diagnosis |
| Date |
2019-03 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Publication Type |
Journal Article |
| Source |
Journal of Neuro-Ophthalmology, March 2019, Volume 39, Issue 1 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| ARK |
ark:/87278/s6c01whs |
| Setname |
ehsl_novel_jno |
| ID |
1595786 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6c01whs |
