Isolated Fourth Nerve Palsy in Nontraumatic Tentorial Hemorrhage

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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.
OCR Text Show
Publisher Lippincott, Williams & Wilkins
Date 2019-03
Type Text
Source Journal of Neuro-Ophthalmology, March 2019, Volume 39, Issue 1
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
ARK ark:/87278/s6c01whs
Setname ehsl_novel_jno
Date Created 2020-09-22
Date Modified 2021-05-06
ID 1595786
Reference URL
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