Transient Isolated Trochlear Nerve Palsy Associated with Rathke's Cleft Cyst

Park, Byung Hoon; Choi, Young Chul; Kim, Won Joo; Han, Sueng Han

doi:10.3349/ymj.2004.45.1.166

Yonsei Med J. 2004 Feb;45(1):166-168. English.
Published online Feb 28, 2004.
https://doi.org/10.3349/ymj.2004.45.1.166

Case Report

Transient Isolated Trochlear Nerve Palsy Associated with Rathke's Cleft Cyst

Byung Hoon Park,¹ Young Chul Choi,¹ Won Joo Kim,¹ and Sueng Han Han²

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- ¹Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
- ²Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
Reprint address: requests to Dr. Won-Joo Kim, Department of Neurology, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea. Tel: 82-2-3497-3320, Fax: 82-2-3462-5904, Email: kzoo@yumc.yonsei.ac.kr

Received April 11, 2003; Accepted August 20, 2003.

Abstract

We report the case of a 52-year-old woman who developed vertical diplopia of 1-days duration. Neuro-ophthalmological testing revealed left trochlear nerve palsy, and sellar MRI revealed a 1.5 cm-sized pituitary mass lesion, a Rathke's cleft cyst. The diplopia disappeared spontaneously after 6 days.

Keywords

Trochlear nerve; diplopia; transient palsy; isolated cranial nerve palsy; Rathke's cleft cyst; case report

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Transient Isolated Trochlear Nerve Palsy Associated with Rathke's Cleft Cyst

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